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CardioVascular and Interventional Radiology

, Volume 34, Issue 3, pp 445–461 | Cite as

The Role of Interventional Radiology in the Management of Deep Venous Thrombosis: Advanced Therapy

  • Gerard J. O’SullivanEmail author
Review

Abstract

Deep vein thrombosis (DVT) is often managed with a health care pathway that funnels patients to anticoagulation therapy alone. This “usual treatment” is designed to stop propagation and embolisation of venous thrombus but not remove it. Surgical thrombectomy was once the only option in severe cases in which limbs were threatened, but thrombus removal is no longer restricted to emergency cases. Interventional radiologists are now using advanced endovascular techniques to achieve thrombus removal in a minimally invasive manner in a very short treatment time, thereby quickly restoring patency, relieving acute symptoms, and potentially limiting the subsequent development of postthrombotic syndrome when followed with anticoagulation and compression regimens. This article provides an overview of the interventions available for treating DVT. One of the newer “single-session” techniques is isolated pharmacomechanical thrombolysis, which is described here in detail with supporting cases.

Keywords

Deep vein thrombosis Thrombus Isolated pharmacomechanical thrombolysis Interventional radiology Endovascular 

Notes

Conflict of interest

None.

Supplementary material

Supplementary Material 1 (MPG 13444 kb)

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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010

Authors and Affiliations

  1. 1.Section of Interventional Radiology, Department of RadiologyUniversity College Hospital GalwayGalwayIreland

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