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Kuperin A.S.

Pirogov Russian National Research Medical University

Gusev L.L.

Pirogov Russian National Research Medical University

Alukhanyan O.A.

Pirogov Russian National Research Medical University

Seliverstov E.I.

Pirogov Russian National Research Medical University

Lebedev I.S.

Pirogov Russian National Research Medical University

Endovascular Management of Iliofemoral Deep Vein Thrombosis

Authors:

Kuperin A.S., Gusev L.L., Alukhanyan O.A., Seliverstov E.I., Lebedev I.S.

More about the authors

Journal: Journal of Venous Disorders. 2024;18(1): 64‑71

DOI: 10.17116/flebo20241801164

Read: 2008 times

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Table of contents

ENDOVASCULAR MANAGEMENT OF ILIOFEMORAL DEEP VEIN THROMBOSIS
ENDOVASCULAR MANAGEMENT OF ILIOFEMORAL DEEP VEIN THROMBOSIS

To cite this article:

Kuperin AS, Gusev LL, Alukhanyan OA, Seliverstov EI, Lebedev IS. Endovascular Management of Iliofemoral Deep Vein Thrombosis. Journal of Venous Disorders. 2024;18(1):64‑71. (In Russ.)
https://doi.org/10.17116/flebo20241801164

Подписка 2026 Флебология (Journal of Venous Disorders)
 
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Abstract:

Venous thromboembolism (VTE) is an important problem for public healthcare systems. Deep vein thrombosis (DVT) of the lower extremities leads to post-thrombotic syndrome (PTS) in 20—50% of cases. Endovascular management of DVT in patients with iliofemoral thrombosis reduces the risk of severe forms of PTS. There are various endovascular procedures including catheter-directed thrombolysis (CDT), mechanical thrombectomy (MT), and their combination. Such interventions require a multidisciplinary approach and involvement of a surgeon. Despite the long history of investigations in this field, many questions are still unresolved, i.e. implantation of cava-filter, optimal venous access and device, anticoagulant agent in acute period. Venous stents in addition to CDT or MT can improve the outcomes. Primary patency rate among different types of venous stents is identical. The choice of stent type is still up to a surgeon and depends on economic affordability as a main limiting factor. Currently, there are no standardized protocols for such endovascular procedures. There are numerous characteristics complicating this process such as disease duration, anatomical features and technical capabilities of hospitals. It is also important to consider the economic aspect of such interventions, especially when combining multiple techniques (MT and stenting). Only a small percentage of patients are potentially eligible for endovascular treatment of DVT. Therefore, these interventions are advisable in hospitals with large number of such patients.

Keywords:

deep vein thrombosis
endovascular management
stenting
catheter thrombolysis

Authors:

Kuperin A.S.

Pirogov Russian National Research Medical University

Gusev L.L.

Pirogov Russian National Research Medical University

Alukhanyan O.A.

Pirogov Russian National Research Medical University

Seliverstov E.I.

Pirogov Russian National Research Medical University

Lebedev I.S.

Pirogov Russian National Research Medical University

Received:

20.10.2023

Accepted:

02.11.2023

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The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
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