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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Radcliffe Medical Media
2020
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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) |
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Diseases of the circulatory (Cardiovascular) system RC666-701 |
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Diseases of the circulatory (Cardiovascular) system RC666-701 Nicholas Xiao Kush R Desai Antithrombotic Therapy after Venous Stent Placement |
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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 |
_version_ |
1718372732486287360 |