Journal of Vascular and Endovascular Therapy

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In addition to the latest technological innovations, etiofemoral Deep Vein Thrombosis (DVT) management technology is a worldwide challenge. Long-term complications of proximal DVT include Postthrombotic Syndrome (PTS), which is characterized by stiffness of the legs, pain, inflammation, paraesthesia, pruritis and color change. PTS affects between 23-43% of patients and has been shown to have a negative impact on quality of life and greater economic burden on the wider community. Effective first-line thrombus removal therapy has been shown to have better outcomes, including lower rates of venous valve dysfunction, recurrent DVT, and PTS. Etiofemoral deep vein thrombosis is the most common. Surgical removal procedures, such as surgical thrombectomy and thrombolysis, have been shown to be superior to anticoagulation therapy alone, leading to a reduction in rates of postthrombotic syndrome and recurrence of DVT. Nevertheless, there is still a huge burden of disease in society. In search of better patient outcomes, we again question the work of the previous generation of orthopedic surgeons who created transient AVF in combination with surgical thrombectomy to promote blood vessel transplantation. Many small studies support their work, producing consistent results. We propose temporary AVF to be beneficial if used in combination with anticoagulation therapy and CDT or PMCT. Temporal AVF is an easy way to perform with minimal risk to the patient, and has great potential to prevent regeneration of thrombosis and PTS. We believe that further investigations are warranted to test this hypothesis.

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Citations : 177

Journal of Vascular and Endovascular Therapy received 177 citations as per Google Scholar report

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