Thrombophilia surgery: Difference between revisions

Jump to navigation Jump to search
Line 14: Line 14:
**Pharmacomechanical catheter-directed thrombolysis
**Pharmacomechanical catheter-directed thrombolysis
**[[IVC_filter|IVC filter]] placement  
**[[IVC_filter|IVC filter]] placement  
 
*'''Inferior vena cava (IVC) filters:''' Its use remains controversial in the acute setting and should be considered in selected cases as they carry their own risk of potential complications and can serve as a nidus for thrombus formation. [[IVC_filter|IVC filter]] placement may be indicated in certain scenarios:
*[[IVC_filter|IVC filter]] placement may be indicated in certain scenarios:
**Contraindications to or complications from [[anticoagulation]]
**Contraindications to or complications from [[anticoagulation]]
**Recurrent thrombosis on anticoagulation, or failure to acheive therapeutic anticoagulation levels
**Recurrent thrombosis on anticoagulation, or failure to acheive therapeutic anticoagulation levels
 
**Severe active bleeding
*The use of '''inferior vena cava (IVC) filters''' remains controversial in the acute setting and should only be considered in select cases. IVC filters carry their own risk of potential complications, and they can serve as a nidus for thrombus formation. In general, for acute venous thrombosis, the use of IVC filters should be avoided unless there is an absolute contraindication to anticoagulation or severe active bleeding. When used, a retrievable type of IVC filter is preferred, and anticoagulation should be offered as soon as safely feasible.


==References==
==References==

Revision as of 20:05, 9 March 2021

Thrombophilia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Thrombophilia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Thrombophilia surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Thrombophilia surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Thrombophilia surgery

CDC on Thrombophilia surgery

Thrombophilia surgery in the news

Blogs on Thrombophilia surgery

Directions to Hospitals Treating Thrombophilia

Risk calculators and risk factors for Thrombophilia surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Asiri Ediriwickrema, M.D., M.H.S. [2]

Overview

Surgery is not required for treatment for thrombophilia. IVC filter placement may be indicated if the patient has contraindications to or complications from anticoagulation, recurrent thrombosis on anticoagulation, or failure to acheive therapeutic anticoagulation levels.[1]

Surgery

  • Surgery is usually not required for the treatment for thrombophilia. However, an endovascular treatment is used in some facilities to manage thrombosis apart from pharmacological management and considered more successful if the thrombus is truly acute with the clot formation two weeks before the presentation.
  • Different endovascular methods are as follows:
    • Catheter-directed thrombolysis
    • Percutaneous aspiration thrombectomy
    • Venous balloon dilatation
    • Pharmacomechanical catheter-directed thrombolysis
    • IVC filter placement
  • Inferior vena cava (IVC) filters: Its use remains controversial in the acute setting and should be considered in selected cases as they carry their own risk of potential complications and can serve as a nidus for thrombus formation. IVC filter placement may be indicated in certain scenarios:
    • Contraindications to or complications from anticoagulation
    • Recurrent thrombosis on anticoagulation, or failure to acheive therapeutic anticoagulation levels
    • Severe active bleeding

References

  1. Inferior Vena Cava Filters. Medscape (2015). URL Accessed on July 17, 2016

Template:WH Template:WS