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Current Trends in the Management of Acute Deep Vein Thrombosis among Korean Vascular Surgeons
PURPOSE: Venous thromboembolism (VTE) is a common life-threatening illness with significant morbidity and mortality rates. In recent years, the incidence of VTE has gradually increased in Korea. In this study, we evaluated the current trends in the management of acute deep vein thrombosis (DVT) in K...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Vascular Specialist International
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480314/ https://www.ncbi.nlm.nih.gov/pubmed/26217633 http://dx.doi.org/10.5758/vsi.2014.30.4.139 |
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author | Kim, Kyeong-Sik Kim, Dong-Ik |
author_facet | Kim, Kyeong-Sik Kim, Dong-Ik |
author_sort | Kim, Kyeong-Sik |
collection | PubMed |
description | PURPOSE: Venous thromboembolism (VTE) is a common life-threatening illness with significant morbidity and mortality rates. In recent years, the incidence of VTE has gradually increased in Korea. In this study, we evaluated the current trends in the management of acute deep vein thrombosis (DVT) in Korea. MATERIALS AND METHODS: A 20-item questionnaire was prepared and sent to 48 members of the Korean Society for Vascular Surgery. Each member worked in a different hospital. Twenty-two members participated in this study. RESULTS: The vascular surgery departments were primarily responsible for managing DVT. Ultrasound and computed tomography (CT) venography were chosen as the most common initial diagnostic tools. Eighty-two percent of participants routinely used the coagulation factor assay. Thrombolysis and inferior vena cava (IVC) filter insertion were performed mainly in the radiology departments. Seventy-seven percent of participants performed thrombolysis only if the thrombus age was less than 21 days. During thrombolysis, IVC filter was routinely inserted by 50% of respondents and removed within 14 days by 64% of respondents. Nearly all participants followed the 2012 American College of Chest Physicians guidelines for anticoagulation therapy. CONCLUSION: The majority of Korean vascular surgeons followed the guidelines. However, CT was frequently used. Thrombolysis and IVC filter insertion were more frequently performed than recommended by the guidelines. |
format | Online Article Text |
id | pubmed-4480314 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Vascular Specialist International |
record_format | MEDLINE/PubMed |
spelling | pubmed-44803142015-07-27 Current Trends in the Management of Acute Deep Vein Thrombosis among Korean Vascular Surgeons Kim, Kyeong-Sik Kim, Dong-Ik Vasc Specialist Int Original Article PURPOSE: Venous thromboembolism (VTE) is a common life-threatening illness with significant morbidity and mortality rates. In recent years, the incidence of VTE has gradually increased in Korea. In this study, we evaluated the current trends in the management of acute deep vein thrombosis (DVT) in Korea. MATERIALS AND METHODS: A 20-item questionnaire was prepared and sent to 48 members of the Korean Society for Vascular Surgery. Each member worked in a different hospital. Twenty-two members participated in this study. RESULTS: The vascular surgery departments were primarily responsible for managing DVT. Ultrasound and computed tomography (CT) venography were chosen as the most common initial diagnostic tools. Eighty-two percent of participants routinely used the coagulation factor assay. Thrombolysis and inferior vena cava (IVC) filter insertion were performed mainly in the radiology departments. Seventy-seven percent of participants performed thrombolysis only if the thrombus age was less than 21 days. During thrombolysis, IVC filter was routinely inserted by 50% of respondents and removed within 14 days by 64% of respondents. Nearly all participants followed the 2012 American College of Chest Physicians guidelines for anticoagulation therapy. CONCLUSION: The majority of Korean vascular surgeons followed the guidelines. However, CT was frequently used. Thrombolysis and IVC filter insertion were more frequently performed than recommended by the guidelines. Vascular Specialist International 2014-12 2014-12-31 /pmc/articles/PMC4480314/ /pubmed/26217633 http://dx.doi.org/10.5758/vsi.2014.30.4.139 Text en Copyright © 2014, The Korean Society for Vascular Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Kyeong-Sik Kim, Dong-Ik Current Trends in the Management of Acute Deep Vein Thrombosis among Korean Vascular Surgeons |
title | Current Trends in the Management of Acute Deep Vein Thrombosis among Korean Vascular Surgeons |
title_full | Current Trends in the Management of Acute Deep Vein Thrombosis among Korean Vascular Surgeons |
title_fullStr | Current Trends in the Management of Acute Deep Vein Thrombosis among Korean Vascular Surgeons |
title_full_unstemmed | Current Trends in the Management of Acute Deep Vein Thrombosis among Korean Vascular Surgeons |
title_short | Current Trends in the Management of Acute Deep Vein Thrombosis among Korean Vascular Surgeons |
title_sort | current trends in the management of acute deep vein thrombosis among korean vascular surgeons |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480314/ https://www.ncbi.nlm.nih.gov/pubmed/26217633 http://dx.doi.org/10.5758/vsi.2014.30.4.139 |
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