Radiology Department, Institut Mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France.
Vascular Medicine Unit, Rennes University Hospital, Rennes, France.
J Med Vasc. 2024 Sep;49(3-4):141-161. doi: 10.1016/j.jdmv.2024.06.002. Epub 2024 Aug 27.
Several aspects of the management of post-thrombotic syndrome (PTS) are still a matter of debate, or not yet addressed in international guidelines. The objective of this expert consensus from the French Society of Vascular Medicine (SFMV) and the French Society of Cardiovascular Imaging (SFICV) was to define the main elements of diagnosis and treatment of this syndrome, and to develop a proposal for its preoperative, procedural and follow-up management. In this consensus, the following issues were addressed: clinical and ultrasound diagnosis; pre-procedural workup; indications and contraindications to venous recanalisation; procedures; clinical and duplex ultrasound reports; follow-up; long-term treatment; management of great saphenous vein incompetency; anticoagulant and antiplatelet therapy after venous stenting.
血栓后综合征（PTS）的管理仍有几个方面存在争议，或者在国际指南中尚未涉及。本共识由法国血管医学学会（SFMV）和法国心血管影像学会（SFICV）制定，旨在确定该综合征的诊断和治疗的主要内容，并提出其术前、术中及术后管理的建议。在该共识中，讨论了以下问题：临床和超声诊断；术前评估；静脉再通的适应证和禁忌证；介入治疗；临床和双功能超声报告；随访；长期治疗；大隐静脉功能不全的管理；静脉支架置入术后的抗凝和抗血小板治疗。
