Thrombus age is ideally measured by history or MRV prior to thrombus removal.
Many factors are known to be important in order to achieve optimal results after thrombus removal for iliofemoral DVT. Not much is published in the literature about timing the treatment, though many guidelines recommend treatment within 14 days. This time span lies within the phrase of acute DVT according to the definition given in many reporting standards. This article will highlight the value of information acquired from patients directly regarding onset of symptoms versus information acquired from imaging with the purpose of a more precise selection of patients for catheter-directed thrombolysis for iliofemoral DVT. What is the value of clinical information acquired from patients and does the information from imaging have additional value?
Vascular Clinic Gentofte Hospital and Rigshospital University of Copenhagen, Denmark baekgaard@dadlnet.dk.
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Bækgaard
Vascular Clinic Gentofte Hospital and Rigshospital University of Copenhagen, Denmark.
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Foegh
Maastricht University Medical Centre Department of Radiology and Intervention Radiology Maastricht, The Netherlands Department of Vascular Surgery, Universiteits Klinikum, Aachen, Germany.
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Wittens
Maastricht University Medical Centre Department of Radiology and Intervention Radiology Maastricht, The Netherlands VieCuri Medical Centre Department of Radiology and Intervention Radiology Venlo, The Netherlands.
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Arnoldussen
D000208:Acute Disease; D000818:Animals; D005268:Femoral Vein / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D007084:Iliac Vein / Q000473:pathology / Q000503:physiopathology; D015912:Thrombolytic Therapy; D020246:Venous Thrombosis / Q000188:drug therapy / Q000473:pathology / Q000503:physiopathology
Iliofemoral DVT; catheter-directed thrombolysis; imaging; symptom duration; thrombus age; timing for treatment