Interventional Treatment of Pediatric Venous Thromboembolic Disease

被引：1

作者：

Herzog, Elizabeth ^{[1
]}

Zavaletta, Vaz ^{[1
,2
]}

Katz, Danielle ^{[1
,2
]}

Lindquist, Jonathan ^{[1
]}

Manco-Johnson, Marilyn ^{[3
,4
]}

Schardt, Timothy ^{[3
,4
]}

Annam, Aparna ^{[1
,2
]}

机构：

[1] Univ Colorado, Dept Radiol, Aurora, CO 80045 USA

[2] Univ Colorado, Childrenss Hosp Colorado, Div Pediat Radiol, 13123 East 16th Ave Box 125, Aurora, CO 80045 USA

[3] Univ Colorado Anschutz Med Campus, Hemophilia & Thrombosis Ctr, Dept Pediat, Aurora, CO USA

[4] Childrenss Hosp Colorado, Ctr Canc & Blood Disorders, Aurora, CO USA

来源：

TECHNIQUES IN VASCULAR AND INTERVENTIONAL RADIOLOGY | 2024年 / 27卷 / 02期

关键词：

deep vein thrombosis; pediatric pulmonary embolism; catheter directed thrombolysis; pharmacomechanical thrombolysis; mechanical thrombectomy; CATHETER-DIRECTED THROMBOLYSIS; DEEP-VEIN THROMBOSIS; PULMONARY-EMBOLISM; POSTTHROMBOTIC SYNDROME; GUIDELINES; THROMBECTOMY; MANAGEMENT; CHILDREN; SOCIETY; RADIOLOGISTS;

D O I：

10.1016/j.tvir.2024.100957

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

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 postthrombotic syndrome (PTS) is also discussed, as PTS can lead to lifelong physical symptoms and psychosocial damage. Tech Vasc Interventional Rad 27:100957 (c) 2024 Published by Elsevier Inc.

引用

页数：10

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