Kim Kyeong-Sik, Kim Dong-Ik
Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Vasc Specialist Int. 2014 Dec;30(4):139-43. doi: 10.5758/vsi.2014.30.4.139. Epub 2014 Dec 31.
Venous thromboembolism (VTE) is a common life-threatening illness with significant morbidity and mortality rates. In recent years, the incidence of VTE has gradually increased in Korea. In this study, we evaluated the current trends in the management of acute deep vein thrombosis (DVT) in Korea.
A 20-item questionnaire was prepared and sent to 48 members of the Korean Society for Vascular Surgery. Each member worked in a different hospital. Twenty-two members participated in this study.
The vascular surgery departments were primarily responsible for managing DVT. Ultrasound and computed tomography (CT) venography were chosen as the most common initial diagnostic tools. Eighty-two percent of participants routinely used the coagulation factor assay. Thrombolysis and inferior vena cava (IVC) filter insertion were performed mainly in the radiology departments. Seventy-seven percent of participants performed thrombolysis only if the thrombus age was less than 21 days. During thrombolysis, IVC filter was routinely inserted by 50% of respondents and removed within 14 days by 64% of respondents. Nearly all participants followed the 2012 American College of Chest Physicians guidelines for anticoagulation therapy.
The majority of Korean vascular surgeons followed the guidelines. However, CT was frequently used. Thrombolysis and IVC filter insertion were more frequently performed than recommended by the guidelines.
静脉血栓栓塞症（VTE）是一种常见的危及生命的疾病，具有较高的发病率和死亡率。近年来，韩国VTE的发病率逐渐上升。在本研究中，我们评估了韩国急性深静脉血栓形成（DVT）管理的当前趋势。
编制了一份包含20个条目的问卷，并发送给韩国血管外科学会的48名成员。每位成员在不同的医院工作。22名成员参与了本研究。
血管外科主要负责管理DVT。超声和计算机断层扫描（CT）静脉造影被选为最常见的初始诊断工具。82%的参与者常规使用凝血因子检测。溶栓和下腔静脉（IVC）滤器置入主要在放射科进行。77%的参与者仅在血栓形成时间小于21天时进行溶栓。在溶栓过程中，50%的受访者常规置入IVC滤器，64%的受访者在14天内取出。几乎所有参与者都遵循2012年美国胸科医师学会的抗凝治疗指南。
大多数韩国血管外科医生遵循指南。然而，CT的使用频率较高。溶栓和IVC滤器置入的实施频率高于指南推荐。
