Acute deep vein thrombosis (DVT): evolving treatment strategies and endovascular therapy.
DVT and PE contribute to at least 100,000 deaths each year. In addition, 4% of patients with PE will progress to CTEPH and PTS will affect nearly 30%. Anticoagulation alone appears inadequate to prevent PTS in many patients. Newer treatment strategies, including PCDT, appear to offer the possibility of reducing the pain, suffering and expense of PTS especially in the most severe cases. The NIH/NHLBI sponsored the ATTRACT trial, which will compare PCDT plus standard anticoagulation versus standard anticoagulation alone in patients with proximal DVT. The ATTRACT trial will enroll patients at both Miriam and RI Hospitals and is expected to add significantly to the research in this area. When successfully completed, results from the trial may guide therapy in the years ahead.
Conklin
Patrick
P
Vascular and Interventional Radiology, Rhode Island Hospital, Warren Alpert Medical School, Brown University, RI 02903, USA.
Soares
Gregory M
GM
Dubel
Gregory J
GJ
Ahn
Sun H
SH
Murphy
Timothy P
TP
D000800:Angioplasty, Balloon; D000925:Anticoagulants / Q000627:therapeutic use; D006801:Humans; D011655:Pulmonary Embolism / Q000453:epidemiology / Q000628:therapy*; D012307:Risk Factors; D015912:Thrombolytic Therapy / Q000295:instrumentation / Q000379:methods*; D014481:United States / Q000453:epidemiology; D020246:Venous Thrombosis / Q000453:epidemiology / Q000628:therapy*
D000925:Anticoagulants