Venous recanalisation in the setting of post-thrombotic syndrome: An expert consensus from the French Society of Vascular Medicine (SFMV) and the French Society of Cardiovascular Imaging and Interventional Radiology (SFICV) - 14/09/24

Doi : 10.1016/j.jdmv.2024.06.002

Costantino Del Giudice ^a,^{^{1
C. Del Giudice and G. Mahé are joint first authors and contributed equally to the document.}}, Guillaume Mahe ^b,^{^{1
C. Del Giudice and G. Mahé are joint first authors and contributed equally to the document.},}^⁎ , Frederic Thony ^c, Stephane Zuily ^d, Gilles Goyault ^e, Antoine Diard ^f, Romaric Loffroy ^g, Jean-Philippe Galanaud ^h, Francine Thouveny ⁱ, Isabelle Quere ^j, Caroline Menez ^k, Christine Jurus ^l, Gilles Pernod ^k, Jean-Marc Pernes ^a, Marc Sapoval ^m
for the
Post-thrombotic syndrome study group of Interventional, Cardiovascular French Society of Radiology (SFICV), French Society of Vascular Medicine (SFMV)^²
SFICV and SFVM Post-thrombotic syndrome expert group: Pierre-Antoine Barral, Sophie Blaise, Gérard Coppé, Marc De Bortoli, Frédéric Douane, Stéphane Dupas, Antoine Elias, Olivier Espitia, Nicolas Falvo, Sébastien Gracia, Claudine Hamel-Desnos, Jean-François Heautot, Pierrick Henneton, Lina Khider, Hicham Kobeiter, Damien Lanéelle, Vincent Le Pennec, Yann Le Bras, Clément Marcelin, Thomas Martinelli, Valérie Monnin-Bares, Alain Moukarzel, Charles Nedey, Monira Nou, Olivier Pichot, Hervé Rousseau, Christophe Seinturier, Marie-Antoinette Sevestre, Vania Tacher, Denis Wahl.
^a Radiology Department, Institut Mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France
^b Vascular Medicine Unit, Rennes University Hospital, Rennes, France
^c Grenoble-Alpes University, Department of Imaging and Interventional Radiology, Grenoble-Alpes University Hospital, Grenoble, France
^d Vascular Medicine Division and Regional Competence Centre For Rare Vascular And Systemic Autoimmune Diseases, Nancy Regional University Hospital, Nancy, France
^e Department of Vascular and Oncological Interventional Radiology, Institut Cardiovasculaire de Strasbourg (ICS), Clinique Rhena, Strasbourg, France
^f Vascular Medicine Office, Langoiran, France
^g Department of Vascular and Interventional Radiology, Image-Guided Therapy Centre, François-Mitterrand University Hospital, 14, rue Paul-Gaffarel, BP 77908, 21079 Dijon, France
^h Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
ⁱ Vascular Radiology Department, Angers University Hospital, Angers, France
^j Department of Vascular Medicine, Montpellier University Hospital, University of Montpellier, Montpellier, France
^k Department of Vascular Medicine, Grenoble-Alpes University Hospital, Grenoble, France
^l Vascular Medicine Office, Villeurbanne, France
^m Department of Interventional Radiology, Georges-Pompidou European Hospital, AP–HP, Inserm U970, Université Paris Cité, Faculté de Médecine, 75006 Paris, France

^⁎Corresponding author.

Summary

Several aspects of the management of post-thrombotic syndrome (PTS) are still a matter of debate, or not yet addressed in international guidelines. The objective of this expert consensus from the French Society of Vascular Medicine (SFMV) and the French Society of Cardiovascular Imaging (SFICV) was to define the main elements of diagnosis and treatment of this syndrome, and to develop a proposal for its preoperative, procedural and follow-up management. In this consensus, the following issues were addressed: clinical and ultrasound diagnosis; pre-procedural workup; indications and contraindications to venous recanalisation; procedures; clinical and duplex ultrasound reports; follow-up; long-term treatment; management of great saphenous vein incompetency; anticoagulant and antiplatelet therapy after venous stenting.

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Keywords : Deep-vein thrombosis, Post-thrombotic syndrome, Imaging, Endovascular treatment

Plan

Introduction

Materials and methods

Experts steering and grading committee

Delphi Method

Results

Recommendations and commentaries

Clinical and ultrasound diagnosis

Pre-procedural workup

Indications and contraindications to venous recanalisation

Procedures

Clinical and DUS reports

Clinical and imaging follow-up

Long-term treatment

Conclusion

Disclosure of interest

Funding

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Vol 49 - N° 3-4

P. 141-161 - septembre 2024 Retour au numéro

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Venous recanalisation in the setting of post-thrombotic syndrome: An expert consensus from the French Society of Vascular Medicine (SFMV) and the French Society of Cardiovascular Imaging and Interventional Radiology (SFICV) - 14/09/24

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