title: Optimal diagnostics of residual stenosis after lysis.
abstract: The treatment of acute deep vein thrombosis has developed significantly over the past few years, and catheter-directed thrombolysis is now widely accepted. Controversy still exists over the decision to treat residual or underlying lesions with a venous stent. Magnetic resonance techniques have evolved considerably, which together with intravenous ultrasound can provide a detailed assessment of the deep venous system. Nevertheless, there is still no single perfect imaging modality that can identify a functional stenosis in the venous system. The decision to proceed to stent placement following lysis is multifactorial, reliant on the use of a number of imaging modalities in combination but most importantly good clinical acumen and experience.
authors.affiliation: Guy's and St Thomas' Hospital, London, UK.
authors.forename: Daniel
authors.initials: D
authors.lastname: Hagley
authors.affiliation: Department of Vascular Surgery, Guy's and St Thomas' Hospital, London, UK.
authors.forename: Prakash
authors.initials: P
authors.lastname: Saha
authors.affiliation: Department of Vascular Surgery, Guy's and St Thomas' Hospital, London, UK Stephen.black@gstt.nhs.uk.
authors.forename: Stephen
authors.initials: S
authors.lastname: Black
mesh_terms: D003251:Constriction, Pathologic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods*; D061185:Mechanical Thrombolysis / Q000009:adverse effects* / Q000379:methods*; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*
keywords: Chronic venous disease; May–Thurner syndrome; deep vein thrombosis; endovascular treatment; thrombolysis