Current situation and trend of treatment of deep vein thrombosis
LI Wen-dong
LI Xiao-qiang
XIAO Lun
Abstract：Deep vein thrombosis (DVT),which can complicate with pulmonary embolism (PE) and develop into postthrombotic syndrome (PTS),is a troublesome problem in clinic.Thus,the treatment of DVT mainly includes two aspects:(1)protection from symptomatic PE and sprawled thrombus;(2)protection from PTS.Sufficient and effective anticoagulation is the fundamental treatment for acute DVT.New oral anticoagulation drugs facilitate the treatment of anticoagulation by avoiding monitor of coagulation function.But in some patients with contraindications for anticoagulation,inferior vena cava filter is necessary for preventing fatal PE.Retrieval filter with a wide duration of withdrawal is attractive in clinic.Removing thrombi by embolectomy,catheter-directed thrombolysis and pharmacomechanical thrombolysis can facilitate to restore the blood flow.But the methods of removal thrombi tend to invasive and efficient.Patients with DVT are always complicated with iliac vein compression.Stenting to solve the obstructive iliac vein is necessary when thrombi are removed.Long-term anticoagulation for prevention of recurrent DVT is necessary for protecting from PTS.Compression including stocking compression and intermittent pneumatic compression contributes to reducing the symptoms of DVT.
Keywords：deep vein thrombosispulmonary embolismpostthrombotic syndromeanticoagulationinferior vena cava filterthrombectomy
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1354-1358 )