Antithrombotic Therapy after Venous Stent Placement

Chronic deep venous disease (CVD) affects millions of Americans and can result in significant morbidity, such as debilitating lower extremity oedema, venous claudication, and in severe cases, venous ulcers. CVD can be caused by thrombotic and non-thrombotic disease processes, such as deep venous thr...

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Autores principales: Nicholas Xiao, Kush R Desai
Formato: article
Lenguaje:EN
Publicado: Radcliffe Medical Media 2020
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Acceso en línea:https://doaj.org/article/4bfa9ddf57644edeb55f4323bc1e72a7
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spelling oai:doaj.org-article:4bfa9ddf57644edeb55f4323bc1e72a72021-12-04T16:03:38ZAntithrombotic Therapy after Venous Stent Placement10.15420/ver.2020.062516-33022516-3299https://doaj.org/article/4bfa9ddf57644edeb55f4323bc1e72a72020-10-01T00:00:00Zhttps://www.verjournal.com/articles/antithrombotic-therapy-after-venous-stent-placementhttps://doaj.org/toc/2516-3299https://doaj.org/toc/2516-3302Chronic deep venous disease (CVD) affects millions of Americans and can result in significant morbidity, such as debilitating lower extremity oedema, venous claudication, and in severe cases, venous ulcers. CVD can be caused by thrombotic and non-thrombotic disease processes, such as deep venous thrombosis and iliac compression syndrome. Recently, endovascular intervention with percutaneous transluminal angioplasty and venous stent placement has become the mainstay therapy for these patients, with several studies demonstrating its safety and efficacy. However, anticoagulation management following venous stent placement is largely unstudied, and there are no large randomised controlled trials or official guidelines establishing an optimal regimen. Most published studies are plagued with data heterogeneity and incomplete reporting. This is further complicated by rapidly evolving improvements in technique and dedicated devices in endovenous intervention. In this article, the authors discuss the current literature to date and offer an approach to anticoagulation and antiplatelet management following venous stent placement in CVD.Nicholas XiaoKush R DesaiRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENVascular and Endovascular Review , Vol 3, Iss , Pp - (2020)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Nicholas Xiao
Kush R Desai
Antithrombotic Therapy after Venous Stent Placement
description Chronic deep venous disease (CVD) affects millions of Americans and can result in significant morbidity, such as debilitating lower extremity oedema, venous claudication, and in severe cases, venous ulcers. CVD can be caused by thrombotic and non-thrombotic disease processes, such as deep venous thrombosis and iliac compression syndrome. Recently, endovascular intervention with percutaneous transluminal angioplasty and venous stent placement has become the mainstay therapy for these patients, with several studies demonstrating its safety and efficacy. However, anticoagulation management following venous stent placement is largely unstudied, and there are no large randomised controlled trials or official guidelines establishing an optimal regimen. Most published studies are plagued with data heterogeneity and incomplete reporting. This is further complicated by rapidly evolving improvements in technique and dedicated devices in endovenous intervention. In this article, the authors discuss the current literature to date and offer an approach to anticoagulation and antiplatelet management following venous stent placement in CVD.
format article
author Nicholas Xiao
Kush R Desai
author_facet Nicholas Xiao
Kush R Desai
author_sort Nicholas Xiao
title Antithrombotic Therapy after Venous Stent Placement
title_short Antithrombotic Therapy after Venous Stent Placement
title_full Antithrombotic Therapy after Venous Stent Placement
title_fullStr Antithrombotic Therapy after Venous Stent Placement
title_full_unstemmed Antithrombotic Therapy after Venous Stent Placement
title_sort antithrombotic therapy after venous stent placement
publisher Radcliffe Medical Media
publishDate 2020
url https://doaj.org/article/4bfa9ddf57644edeb55f4323bc1e72a7
work_keys_str_mv AT nicholasxiao antithrombotictherapyaftervenousstentplacement
AT kushrdesai antithrombotictherapyaftervenousstentplacement
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