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Which criteria demand additive stenting during catheter-directed thrombolysis?

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  1. European College of Phlebology guideline for truncal ablation

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Patients and physicians agree only partially in symptoms and clinical findings before and after treatment for varicose veins

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Thrombus age is ideally measured by history or MRV prior to thrombus removal

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  4. Indications for stenting during thrombolysis

    Research output: Contribution to journalJournal articleResearchpeer-review

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Many factors are necessary for obtaining satisfactory results after catheter-directed thrombolysis (CDT) for iliofemoral deep venous thrombosis (DVT). Selections of patients, composition of the thrombolytic fluid, anticoagulation per- and post-procedural, recognition and treatment of persistent obstructive lesions of the iliac veins are the most important contributors. Stenting has been known for 15 to 20 years. The first publication on CDT in 1991 was combined with ballooning the iliac vein, an additive procedure which has been abandoned as an isolated procedure. This chapter will discuss selection, indication, such as an iliac compression syndrome, and outcome of iliac stenting in combination with CDT. The reported frequency of stenting used after CDT is very inconsistent, therefore this will be discussed in details. It is concluded that selection for stenting is of the greatest importance, when CDT is used for iliofemoral DVT, but strict criteria for stenting are not available in the existing literature. The potential value of intravascular ultrasound (IVUS) is also discussed.

Original languageEnglish
JournalPhlebology / Venous Forum of the Royal Society of Medicine
Volume29
Issue number1 suppl
Pages (from-to)112-118
Number of pages7
ISSN0268-3555
DOIs
Publication statusPublished - 19 May 2014

ID: 45305193