抗栓治疗能否改变我们的 DVT 管理实践？
Does ATTRACT change our DVT management practice?
机构信息
Department of Diagnostic and Interventional Radiology, Helios Kliniken Duisburg, Germany Teaching Hospital of Heinrich-Heine University, Duesseldorf, Germany.
出版信息
Br J Radiol. 2021 Apr 1;94(1120):20200939. doi: 10.1259/bjr.20200939. Epub 2021 Jan 7.
Abstract
In 2017, the long awaited results of the ATTRACT trial were published in the leaving the scientific community with disappointment as the study did not show the expected results. Producing not the expected outcome is not uncommon in science - furthermore, it is important to disapprove common beliefs. But has the ATTRACT trial really the power to change our practice? Are the results correct in terms of evidence based on the methods used?
摘要
2017 年，期待已久的 ATTRACT 试验结果发表在《柳叶刀》上，令科学界失望的是，该研究并未显示出预期的结果。在科学研究中，未产生预期结果并不罕见——此外，重要的是要摒弃常见的观念。但是，ATTRACT 试验真的有能力改变我们的实践吗？就所使用的方法而言，这些结果在证据方面是否正确？
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本文引用的文献
1
Association of Successful Ultrasound-Accelerated Catheter-Directed Thrombolysis with Postthrombotic Syndrome: A Post Hoc Analysis of the CAVA Trial.成功的超声加速导管定向溶栓与血栓形成后综合征的关联：CAVA试验的事后分析
Thromb Haemost. 2020 Aug;120(8):1188-1199. doi: 10.1055/s-0040-1713171. Epub 2020 Jun 30.
2
Ultrasound-Accelerated Thrombolysis and Venoplasty for the Treatment of the Postthrombotic Syndrome: Results of the ACCESS PTS Study.超声加速溶栓和成形术治疗血栓后综合征：ACCESS PTS 研究结果。
J Am Heart Assoc. 2020 Feb 4;9(3):e013398. doi: 10.1161/JAHA.119.013398. Epub 2020 Jan 25.
3
Ultrasound-accelerated catheter-directed thrombolysis versus anticoagulation for the prevention of post-thrombotic syndrome (CAVA): a single-blind, multicentre, randomised trial.超声加速导管直接溶栓与抗凝预防血栓形成后综合征（CAVA）：一项单盲、多中心、随机试验
Lancet Haematol. 2020 Jan;7(1):e40-e49. doi: 10.1016/S2352-3026(19)30209-1. Epub 2019 Nov 27.
4
A comparison between intravascular ultrasound and venography in identifying key parameters essential for iliac vein stenting.血管内超声与静脉造影在识别髂静脉支架置入关键参数方面的比较。
J Vasc Surg Venous Lymphat Disord. 2019 Nov;7(6):801-807. doi: 10.1016/j.jvsv.2019.03.015. Epub 2019 Jun 10.
5
Pharmacomechanical Catheter-Directed Thrombolysis for Deep-Vein Thrombosis.药物机械性导管定向溶栓治疗深静脉血栓形成
N Engl J Med. 2017 Dec 7;377(23):2240-2252. doi: 10.1056/NEJMoa1615066.
6
Post-thrombotic syndrome after catheter-directed thrombolysis for deep vein thrombosis (CaVenT): 5-year follow-up results of an open-label, randomised controlled trial.导管定向溶栓治疗深静脉血栓形成后血栓形成后综合征（CaVenT）：一项开放标签随机对照试验的5年随访结果
Lancet Haematol. 2016 Feb;3(2):e64-71. doi: 10.1016/S2352-3026(15)00248-3. Epub 2016 Jan 6.
7
The postthrombotic syndrome: evidence-based prevention, diagnosis, and treatment strategies: a scientific statement from the American Heart Association.血栓形成后综合征：基于证据的预防、诊断和治疗策略：美国心脏协会的科学声明
Circulation. 2014 Oct 28;130(18):1636-61. doi: 10.1161/CIR.0000000000000130. Epub 2014 Sep 22.
8
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Am Heart J. 2013 Apr;165(4):523-530.e3. doi: 10.1016/j.ahj.2013.01.024. Epub 2013 Mar 5.
9
Thrombus Obliteration by Rapid Percutaneous Endovenous Intervention in Deep Venous Occlusion (TORPEDO) trial: midterm results.深静脉闭塞症快速经皮腔内静脉介入血栓清除（TORPEDO）试验：中期结果。
J Endovasc Ther. 2012 Apr;19(2):273-80. doi: 10.1583/11-3674MR.1.
10
Postthrombotic morbidity correlates with residual thrombus following catheter-directed thrombolysis for iliofemoral deep vein thrombosis.导管溶栓治疗髂股深静脉血栓后，血栓后发病率与残余血栓相关。
J Vasc Surg. 2012 Mar;55(3):768-73. doi: 10.1016/j.jvs.2011.10.032. Epub 2012 Jan 24.
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