Abstract:
INTRODUCTION:Catheter-directed thrombolysis (CDT) for iliofemoral deep vein thrombosis (DVT) restores venous patency, reduces the risk of the post-thrombotic syndrome and may reduce longer term treatment costs. This study assessed the potential role of CDT in patients with DVT with regard to representation following the index event. METHODS:A retrospective review of all patients with a positive lower limb DVT scan. Potential suitability of each patient to undergo CDT was based on well-recognized inclusion/exclusion criteria. RESULTS:In total, 1689 patients underwent a DVT-specific lower limb venous duplex. A total of 269 were found to have a DVT. Fifty-three of these patients met the inclusion criteria for CDT (only 2 underwent CDT). Fifty-nine of the 269 patients with an index DVT re-presented to our institution with a venous thromboembolism-related clinical event. These patients were significantly younger than those who did not reattend. A higher proportion of patients who represented were deemed suitable for CDT for the index DVT compared with those who did not represent (17/59 versus 36/210; P = 0.04). CONCLUSION:This pragmatic study highlights the fact that significant number of patients return to secondary care with actual/perceived complications following initial diagnosis and treatment of a DVT which may have been amenable to CDT.
journal_name
Phlebologyjournal_title
Phlebologyauthors
Chandra E,Ahmadi M,Bailey MA,Griffin KJ,Berridge DC,Coughlin PA,Scott DJdoi
10.1258/phleb.2012.012078subject
Has Abstractpub_date
2013-12-01 00:00:00pages
404-8issue
8eissn
0268-3555issn
1758-1125pii
phleb.2012.012078journal_volume
28pub_type
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