title: [Prevention of Postthrombotic Syndrom].
abstract: Post-thrombotic syndrome (PTS) is a complication which occurs after deep vein thrombosis in spite of optimal anticoagulation. The term ’post-thrombotic syndrome’ summarizes all clinical symptoms and skin lesions developing in the aftermath of deep vein thrombosis. In order to prevent PTS various therapeutic options exist, the choice is depending on the time lapse since the event of thrombosis. At the acute phase of pelvic vein thrombosis catheter-directed lysis has proved to be an efficient therapy. Starting from the acute phase up to the chronic phase compression therapy should be administered. In the chronic phase clinically relevant improvement of PTS can be achieved by recanalisation of the venous outflow tract in the pelvic axis by endovascular stenting. Surgery or endovenous thermal ablation of the insufficient superficial venous system are further and supplementary sensible treatment options.
authors.affiliation: 1 Universitätsklinik für Angiologie, Inselspital Bern.
authors.forename: Ulrike
authors.initials: U
authors.lastname: Hügel
authors.affiliation: 1 Universitätsklinik für Angiologie, Inselspital Bern.
authors.forename: Iris
authors.initials: I
authors.lastname: Baumgartner
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003430:Cross-Sectional Studies; D005500:Follow-Up Studies; D006801:Humans; D054070:Postthrombotic Syndrome / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D053828:Stockings, Compression; D014680:Veins / Q000601:surgery; D020246:Venous Thrombosis / Q000150:complications / Q000628:therapy
chemical_list: D000925:Anticoagulants
keywords: Katheterlyse (CDT); Prävention des postthrombotischen Syndroms; catheter directed thrombolysis (CDT); deep vein thrombosis; prevention of postthrombotic syndrome; syndrome post-thrombotique (SPT); thrombolyse in situ; thrombose veineuse profonde; tiefe Beinvenenthrombose