2011/03/22 by Michael R. Jaff, M. Sean McMurtry, Stephen L. Archer +10 · 5 citations
Medicine · #Venous Thromboembolism Diagnosis and Management #Acute Myocardial Infarction Research #Atrial Fibrillation Management and Outcomes #Medicine #Pulmonary embolism #Deep vein #Thrombosis #Venous thrombosis #Surgery
paper · doi:10.1161/cir.0b013e318214914f
openalex publication_date 2011/03/22 · openalex created_date 2016/06/24 · openalex updated_date 2026/08/05
Venous thromboembolism (VTE) is responsible for the hospitalization of >250 000 Americans annually and represents a significant risk for morbidity and mortality. Despite the publication of evidence-based clinical practice guidelines to aid in the management of VTE in its acute and chronic forms, the clinician is frequently confronted with manifestations of VTE for which data are sparse and optimal management is unclear. In particular, the optimal use of advanced therapies for acute VTE, including thrombolysis and catheter-based therapies, remains uncertain. This report addresses the management of massive and submassive pulmonary embolism (PE), iliofemoral deep vein thrombosis (IFDVT),and chronic thromboembolic pulmonary hypertension (CTEPH). The goal is to provide practical advice to enable the busy clinician to optimize the management of patients with these severe manifestations of VTE. Although this document makes recommendations for management, optimal medical decisions must incorporate other factors, including patient wishes, quality of life, and life expectancy based on age and comorbidities. The appropriateness of these recommendations for a specific patient may vary depending on these factors and will be best judged by the bedside clinician.