Vedantham Suresh, Desai Kush R, Weinberg Ido, Marston William, Winokur Ronald, Patel Sheena, Kolli Kanti Pallav, Azene Ezana, Nelson Kari
Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, Missouri.
Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
J Vasc Interv Radiol. 2023 Feb;34(2):284-299.e7. doi: 10.1016/j.jvir.2022.10.038. Epub 2022 Nov 11.
To establish the updated position of the Society of Interventional Radiology (SIR) on the endovascular management of acute iliofemoral deep vein thrombosis (DVT).
A multidisciplinary writing group with expertise in treating venous diseases was convened by SIR. A comprehensive literature search was conducted to identify studies on the topic of interest. Recommendations were drafted and graded according to the updated SIR evidence grading system. A modified Delphi technique was used to achieve consensus agreement on the recommendation statements.
A total of 84 studies, including randomized trials, systematic reviews and meta-analyses, prospective single-arm studies, and retrospective studies were identified and included in the review. The expert writing group developed 17 recommendations that pertain to the care of patients with acute iliofemoral DVT with the use of endovascular venous interventions.
SIR considers endovascular thrombus removal to be an acceptable treatment option in selected patients with acute iliofemoral DVT. Careful individualized risk assessment, high-quality general DVT care, and close monitoring during and after procedures should be provided.
确定介入放射学会（SIR）在急性髂股深静脉血栓形成（DVT）血管内治疗方面的最新立场。
SIR召集了一个在治疗静脉疾病方面具有专业知识的多学科写作小组。进行了全面的文献检索以识别关于感兴趣主题的研究。根据更新后的SIR证据分级系统起草并分级推荐意见。采用改良的德尔菲技术就推荐声明达成共识。
共识别出84项研究，包括随机试验、系统评价和荟萃分析、前瞻性单臂研究以及回顾性研究，并纳入本综述。专家写作小组制定了17项与使用血管内静脉介入治疗急性髂股DVT患者护理相关的推荐意见。
SIR认为血管内血栓清除术是部分急性髂股DVT患者可接受的治疗选择。应进行仔细的个体化风险评估、提供高质量的一般DVT护理，并在手术期间和术后进行密切监测。
