Interventional Treatment of Pediatric Venous Thromboembolic Disease

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
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引用次数: 0

Abstract

This review explores the clinical presentation of lower extremity DVT and pulmonary embolism (PE), treatment strategies, and outcomes for venous thromboembolism (VTE) in the pediatric population. Traditional therapy for pediatric VTE was anticoagulation alone with thrombolysis and surgery reserved only in life or limb-threatening cases. Catheter-directed thrombolysis (CDT), pharmacomechanical thrombectomy (PMT) and mechanical thrombectomy (MT) have emerged as effective and safe treatment options for VTE management. Although most data are from adult studies, early pediatric studies suggest that these interventional procedures can be effective in children. The significant clinical impact of post-thrombotic syndrome (PTS) is also discussed, as PTS can lead to lifelong physical symptoms and psychosocial damage.

小儿静脉血栓栓塞性疾病的介入治疗
这篇综述探讨了儿童下肢深静脉血栓和肺栓塞(PE)的临床表现、治疗策略以及静脉血栓栓塞症(VTE)的治疗效果。小儿静脉血栓栓塞症的传统治疗方法是单纯抗凝,只有在危及生命或肢体的情况下才进行溶栓和手术。导管引导溶栓(CDT)、药物机械血栓切除术(PMT)和机械血栓切除术(MT)已成为治疗 VTE 的有效而安全的治疗方案。虽然大多数数据来自成人研究,但早期的儿科研究表明,这些介入治疗方法对儿童也有效。此外,还讨论了血栓后综合征(PTS)的重大临床影响,因为 PTS 可导致终身的身体症状和社会心理伤害。
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来源期刊
Techniques in Vascular and Interventional Radiology
Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.70
自引率
0.00%
发文量
47
期刊介绍: Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.
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