Thrombophilia surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
*Surgery is not required for treatment for thrombophilia | *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|IVC filter]] placement | |||
*[[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 | ||
* | *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 19:56, 9 March 2021
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Thrombophilia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Thrombophilia surgery On the Web |
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American Roentgen Ray Society Images of 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
- 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
- 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
- ↑ Inferior Vena Cava Filters. Medscape (2015). URL Accessed on July 17, 2016