title: Management of Cavoatrial Deep Venous Thrombosis: Incorporating New Strategies.
abstract: Cavoatrial deep venous thrombosis (DVT) is diagnosed with increasing prevalence. It can be managed medically with anticoagulation or with directed interventions aimed to efficiently reduce the thrombus burden within the target venous segment. The type of management chosen depends greatly on the etiology and chronicity of the thrombosis, existing patient comorbidities, and the patient's tolerance to anticoagulants and thrombolytic agents. In addition to traditional percutaneous catheter-based pharmacomechanical thrombolysis, other catheter-based suction thrombectomy techniques have emerged in recent years. Each therapeutic modality requires operator expertise and a coordinated care paradigm to facilitate successful outcomes. Open surgical thrombectomy is alternatively reserved for specific patient conditions, including intolerance of anticoagulation, failed catheter-based interventions, or acute emergencies.
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri; Department of Surgery, Veterans Affairs St. Louis Health Care System, St. Louis, Missouri.
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Zayed
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
authors.forename: Gayan S
authors.initials: GS
authors.lastname: De Silva
authors.affiliation: Interventional Radiology Section, Washington University School of Medicine, Mallinckrodt Institute of Radiology, St. Louis, Missouri.
authors.forename: Raja S
authors.initials: RS
authors.lastname: Ramaswamy
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
authors.forename: Luis A
authors.initials: LA
authors.lastname: Sanchez
keywords: deep venous thrombosis; thrombectomy; thrombolysis