Interventional Treatment of Pediatric Venous Thromboembolic Disease.
Humans
Child
Thrombolytic Therapy
/ adverse effects
Treatment Outcome
Thrombectomy
/ adverse effects
Venous Thromboembolism
/ therapy
Adolescent
Child, Preschool
Risk Factors
Infant
Age Factors
Radiography, Interventional
Pulmonary Embolism
/ therapy
Female
Postthrombotic Syndrome
/ diagnostic imaging
Male
Infant, Newborn
Venous Thrombosis
/ diagnostic imaging
Fibrinolytic Agents
/ administration & dosage
Anticoagulants
/ therapeutic use
catheter directed thrombolysis
deep vein thrombosis
mechanical thrombectomy
pediatric pulmonary embolism
pharmacomechanical thrombolysis
Journal
Techniques in vascular and interventional radiology
ISSN: 1557-9808
Titre abrégé: Tech Vasc Interv Radiol
Pays: United States
ID NLM: 9806675
Informations de publication
Date de publication:
Jun 2024
Jun 2024
Historique:
medline:
22
8
2024
pubmed:
22
8
2024
entrez:
21
8
2024
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 39168544
pii: S1089-2516(24)00013-1
doi: 10.1016/j.tvir.2024.100957
pii:
doi:
Substances chimiques
Fibrinolytic Agents
0
Anticoagulants
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
100957Informations de copyright
Copyright © 2024. Published by Elsevier Inc.