Abstract
Cavoatrial deep venous thrombosis (DVT) is diagnosed with increasing prevalence. It
can be managed medically with anticoagulation or with directed interventions aimed
to efficiently reduce the thrombus burden within the target venous segment. The type
of management chosen depends greatly on the etiology and chronicity of the thrombosis,
existing patient comorbidities, and the patient's tolerance to anticoagulants and
thrombolytic agents. In addition to traditional percutaneous catheter-based pharmacomechanical
thrombolysis, other catheter-based suction thrombectomy techniques have emerged in
recent years. Each therapeutic modality requires operator expertise and a coordinated
care paradigm to facilitate successful outcomes. Open surgical thrombectomy is alternatively
reserved for specific patient conditions, including intolerance of anticoagulation,
failed catheter-based interventions, or acute emergencies.
Keywords
deep venous thrombosis - thrombolysis - thrombectomy
