Interventionelle Therapie der venösen Thrombembolie

Zusammenfassung

Die akute venöse Thrombembolie lässt sich durch minimalinvasive, interventionelle Techniken mit einer hohen Patientensicherheit behandeln. Dabei geht es um die Eindämmung und Minderung der Thrombuslast, die sowohl die akuten als auch die chronischen Folgen der Erkrankung bestimmt. Momentan ist die Datenlage hinsichtlich der interventionellen Methoden limitiert, wobei erste randomisierte Studien inzwischen robuste, positive Signale geben. Es ist anzumahnen, dass die Fachwelt weiterhin kritisch und reflektiert über die neuen Methoden diskutiert. Weitere wissenschaftlich hochwertige Studien müssen zeigen, ob ihr Einsatz hinsichtlich der Effizienz tatsächlich gerechtfertigt ist.

Abstract

Venous thrombembolism is an entity comprising deep vein thrombosis and pulmonary embolism. Minimally invasive interventional treatment modalities provide the possibility to reduce the clot burden, which causes acute and chronic disease morbidity. Catheter-directed thrombolysis or pharmaco-mechanical catheter interventions are the most promising approaches. Safety of these treatment techniques is promising. However, more data is needed to support their routine use.

Schlüsselwörter

venöse Thrombembolie - Lungenembolie - Thrombose - interventionelle Behandlung

Key words

venous thrombembolism - pulmonary embolism - deep vein thrombosis - interventional treatment

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