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Semin intervent Radiol 2022; 39(04): 357-363
DOI: 10.1055/s-0042-1757340
Review Article

Antithrombotic Therapy after Deep Venous Intervention

Nicholas Xiao
1   Division of Interventional Radiology, Department of Radiology, Northwestern University, Chicago, Illinois
,
Matthew Genet
1   Division of Interventional Radiology, Department of Radiology, Northwestern University, Chicago, Illinois
,
Minhaj Khaja
2   Division of Interventional Radiology, Department of Radiology, University of Virginia, Charlottesville, Virginia
,
Kush R. Desai
1   Division of Interventional Radiology, Department of Radiology, Northwestern University, Chicago, Illinois
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Abstract

Chronic deep venous disease (CVD) can result in significant morbidity and impact on quality of life due to a spectrum of symptoms, including lower extremity edema, venous claudication, and venous ulcers. CVD can be secondary to both thrombotic and nonthrombotic disease processes, including postthrombotic syndrome from prior deep vein thrombosis (DVT) or iliac vein compression syndrome. Endovascular therapy has become a mainstay therapy for CVD patients, with venous stent placement frequently performed. However, the management of anticoagulation following venous stent placement is not well-studied, with no large trials or consensus guidelines establishing an optimal regimen. The current knowledge gap in antithrombotic therapy is magnified by heterogeneity in practice and data collection, along with incomplete reporting in available studies. Furthermore, most published datasets are antiquated in the setting of rapid evolution in technique and technology available for deep venous intervention. Herein, we summarize the current available literature and offer an approach to anticoagulation and antiplatelet management following deep venous intervention for CVD.

Keywords

interventional radiology - anticoagulation - venous - deep venous thrombosis - postthrombotic syndrome


Publication History

Article published online:
17 November 2022

© 2022. Thieme. All rights reserved.

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