孤立性远端深静脉血栓形成的治疗。一个持续的难题?

IF 0.4 Q4 PERIPHERAL VASCULAR DISEASE Acta Angiologica Pub Date : 2020-09-25 DOI:10.5603/aa.2020.0011
N. Gunawansa, Thilina Gunawardena
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引用次数: 0

摘要

孤立性远端深静脉血栓形成(IDDVT)约占所有诊断为DVT的患者的50%。虽然近端深静脉血栓形成患者的最终治疗是相当明确的,但IDDVT仍然笼罩着不确定性。绝大多数IDDVT患者可能很少或没有症状,并且血栓会自发消退。然而,一小部分但重要的部分可能显示近端血栓延伸,并可能导致肺栓塞或晚期深静脉回流。鉴别具有更大血栓扩展倾向或进一步后遗症的IDDVT患者亚组仍然是个体化治疗的基石,以获得最佳结果。
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Management of isolated distal deep vein thrombosis. A persistent conundrum?
Isolated distal deep vein thrombosis (IDDVT) accounts for approximately 50% of all patients diagnosed with DVT. While the definitive management of patients with proximal deep vein thrombosis is fairly well defined, IDDVT remains shrouded uncertainty. The great majority of patients with IDDVT may remain with little or no symptoms and have spontaneous resolution of the thrombi. However, a small but significant fraction may show proximal thrombus extension and may proceed to cause pulmonary embolism or late deep venous reflux. Identification of this subgroup of patients with IDDVT who have a greater propensity for thrombus extension or further sequelae remains the cornerstone of individualized management for optimal results.
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来源期刊
Acta Angiologica
Acta Angiologica PERIPHERAL VASCULAR DISEASE-
CiteScore
0.30
自引率
0.00%
发文量
16
审稿时长
26 weeks
期刊介绍: Acta Angiologica is a bilingual (Polish/English) quarterly for angiologists and vascular surgeons as well as for other doctors interested in vascular disorders. Original papers, reviews, case reports and letters submitted by authors from different countries, concerning physiology, pathology, presentation, diagnostics and treatment of vascular system, are published. Thorough contents of Acta Angiologica provide valuable information about modern diagnostic and therapeutic issues as well as advances in basic sciences and pharmacology.
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