Post-thrombotic syndrome medical therapy: Difference between revisions

Jump to navigation Jump to search
(Created page with "__NOTOC__ {{Post-thrombotic syndrome}} {{CMG}} ==Overview== ==Medical Therapy== Treatment options for PTS include proper leg elevation, compression therapy with elastic stock...")
 
 
(2 intermediate revisions by the same user not shown)
Line 5: Line 5:
==Overview==
==Overview==
==Medical Therapy==
==Medical Therapy==
Treatment options for PTS include proper leg elevation, compression therapy with elastic stockings or electrostimulation devices, herbal remedies (such as horse chestnut, rutosides, pentoxifylline), and wound care for leg ulcers.<ref name="kahn2"/><ref>Vazquez SR, Freeman A, VanWoerkom RC, Rondina MT. Contemporary issues in the prevention and management of postthrombotic syndrome. Ann Pharmacother 2009; 43:1824-35.</ref>
Treatment options for PTS include proper leg elevation, compression therapy with elastic stockings or electrostimulation devices, herbal remedies (such as horse chestnut, rutosides, pentoxifylline), and wound care for leg ulcers.<ref>Vazquez SR, Freeman A, VanWoerkom RC, Rondina MT. Contemporary issues in the prevention and management of postthrombotic syndrome. Ann Pharmacother 2009; 43:1824-35.</ref>
 
Compression bandages are useful to treat edemas. Stimulation medical devices such as [[Veinoplus]] can also reduce the symptoms of PTS. By stimulating the calf muscle pump, this device helps to remove venous stasis, to inhibit venous reflux and increases venous outflow.<ref>Soriano C., Moll S., Deal A. Efficacy and optimal use of a portable electrical muscle stimulator (Veinoplus) to improve symptoms of post-thrombotic syndrome. Poster presented at the Annual scientific Symposium 2010 of the ''Hemophilia and Thrombosis Research Society'' (HTRS). Abstract, page 30, published by [http://www.htrs.org/ HTRS]</ref><ref>Nicolaides AN, Griffin M, Bond D et all. The Efficacy of New Veinoplus Stimulation Technology to Increase Venous Flow and Prevent Venous Stasis. ''Journal of Vascular Surgery''. Volume 51, issue 3, page 790, March 2010</ref> Thus, lowers limbs are better irrigated.
 
===Upper-Extremity Post-Thrombotic Syndrome===
Patients with upper-extremity DVT may develop upper-extremity PTS, but the incidence is lower than that for lower-extremity PTS (15-25%).<ref>Elman EE, Kahn SR. The post-thrombotic syndrome after upper extremity deep venous thrombosis in adults: a systematic review. Thromb Res 2006;117:609-14.</ref><ref>Prandoni P, Bernardi E, Marchiori A, et al. The long-term clinical course of acute deep vein thrombosis of the arm: prospective cohort study. BMJ 2004; 329:484-5.</ref> There are no established treatment or prevention methods, but patients with upper-extremity PTS may wear a compression sleeve for persistent symptoms.


Compression bandages are useful to treat edemas<ref name="doj" />. Stimulation medical devices such as [[Veinoplus]] can also reduce the symptoms of PTS. By stimulating the calf muscle pump, this device helps to remove venous stasis, to inhibit venous reflux and increases venous outflow.<ref>Soriano C., Moll S., Deal A. Efficacy and optimal use of a portable electrical muscle stimulator (Veinoplus) to improve symptoms of post-thrombotic syndrome. Poster presented at the Annual scientific Symposium 2010 of the ''Hemophilia and Thrombosis Research Society'' (HTRS). Abstract, page 30, published by [http://www.htrs.org/ HTRS]</ref><ref>Nicolaides AN, Griffin M, Bond D et all. The Efficacy of New Veinoplus Stimulation Technology to Increase Venous Flow and Prevent Venous Stasis. ''Journal of Vascular Surgery''. Volume 51, issue 3, page 790, March 2010</ref> Thus, lowers limbs are better irrigated.
==References==
==References==



Latest revision as of 15:25, 21 September 2012

Post-thrombotic syndrome Microchapters

Home

Patient Information

Overview

Pathophysiology

Causes

Differentiating Post-thrombotic syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

CT

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Social Impact

Case Studies

Case #1

Post-thrombotic syndrome medical therapy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Post-thrombotic syndrome medical therapy

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Post-thrombotic syndrome medical therapy

CDC on Post-thrombotic syndrome medical therapy

Post-thrombotic syndrome medical therapy in the news

Blogs on Post-thrombotic syndrome medical therapy

Directions to Hospitals Treating Post-thrombotic syndrome

Risk calculators and risk factors for Post-thrombotic syndrome medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Medical Therapy

Treatment options for PTS include proper leg elevation, compression therapy with elastic stockings or electrostimulation devices, herbal remedies (such as horse chestnut, rutosides, pentoxifylline), and wound care for leg ulcers.[1]

Compression bandages are useful to treat edemas. Stimulation medical devices such as Veinoplus can also reduce the symptoms of PTS. By stimulating the calf muscle pump, this device helps to remove venous stasis, to inhibit venous reflux and increases venous outflow.[2][3] Thus, lowers limbs are better irrigated.

Upper-Extremity Post-Thrombotic Syndrome

Patients with upper-extremity DVT may develop upper-extremity PTS, but the incidence is lower than that for lower-extremity PTS (15-25%).[4][5] There are no established treatment or prevention methods, but patients with upper-extremity PTS may wear a compression sleeve for persistent symptoms.

References

  1. Vazquez SR, Freeman A, VanWoerkom RC, Rondina MT. Contemporary issues in the prevention and management of postthrombotic syndrome. Ann Pharmacother 2009; 43:1824-35.
  2. Soriano C., Moll S., Deal A. Efficacy and optimal use of a portable electrical muscle stimulator (Veinoplus) to improve symptoms of post-thrombotic syndrome. Poster presented at the Annual scientific Symposium 2010 of the Hemophilia and Thrombosis Research Society (HTRS). Abstract, page 30, published by HTRS
  3. Nicolaides AN, Griffin M, Bond D et all. The Efficacy of New Veinoplus Stimulation Technology to Increase Venous Flow and Prevent Venous Stasis. Journal of Vascular Surgery. Volume 51, issue 3, page 790, March 2010
  4. Elman EE, Kahn SR. The post-thrombotic syndrome after upper extremity deep venous thrombosis in adults: a systematic review. Thromb Res 2006;117:609-14.
  5. Prandoni P, Bernardi E, Marchiori A, et al. The long-term clinical course of acute deep vein thrombosis of the arm: prospective cohort study. BMJ 2004; 329:484-5.