Cargando…

Management of Acute Iliofemoral Deep Venous Thrombosis in Inflammatory Bowel Disease – Transitioning From Conservative Management to Early Intervention

Deep vein thrombosis (DVT) is a frequent complication in patients suffering from inflammatory bowel disease (IBD), especially in those with frequent relapses of the disease or extensive inflammatory lesions. The aetiology for the increased risk is multifactorial. Current evidence on management of ac...

Descripción completa

Detalles Bibliográficos
Autores principales: Badesha, Arshpreet Singh, Tamber, Kajal Kaur, Powezka, Katarzyna, Hodge, Stacie, Khan, Taha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8460557/
https://www.ncbi.nlm.nih.gov/pubmed/34589335
http://dx.doi.org/10.7759/cureus.17426
_version_ 1784571782449070080
author Badesha, Arshpreet Singh
Tamber, Kajal Kaur
Powezka, Katarzyna
Hodge, Stacie
Khan, Taha
author_facet Badesha, Arshpreet Singh
Tamber, Kajal Kaur
Powezka, Katarzyna
Hodge, Stacie
Khan, Taha
author_sort Badesha, Arshpreet Singh
collection PubMed
description Deep vein thrombosis (DVT) is a frequent complication in patients suffering from inflammatory bowel disease (IBD), especially in those with frequent relapses of the disease or extensive inflammatory lesions. The aetiology for the increased risk is multifactorial. Current evidence on management of acute iliofemoral DVT in IBD patients is scarce. This case series highlights two cases of active IBD, who developed acute iliofemoral DVTs and were treated with catheter-directed thrombolysis (CDT). This report demonstrates that CDT is effective in clearing the clot burden and producing significant symptomatic improvement in the absence of major complications. An individualised approach must be taken for the management of IBD patients with acute iliofemoral DVT.
format Online
Article
Text
id pubmed-8460557
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-84605572021-09-28 Management of Acute Iliofemoral Deep Venous Thrombosis in Inflammatory Bowel Disease – Transitioning From Conservative Management to Early Intervention Badesha, Arshpreet Singh Tamber, Kajal Kaur Powezka, Katarzyna Hodge, Stacie Khan, Taha Cureus Cardiac/Thoracic/Vascular Surgery Deep vein thrombosis (DVT) is a frequent complication in patients suffering from inflammatory bowel disease (IBD), especially in those with frequent relapses of the disease or extensive inflammatory lesions. The aetiology for the increased risk is multifactorial. Current evidence on management of acute iliofemoral DVT in IBD patients is scarce. This case series highlights two cases of active IBD, who developed acute iliofemoral DVTs and were treated with catheter-directed thrombolysis (CDT). This report demonstrates that CDT is effective in clearing the clot burden and producing significant symptomatic improvement in the absence of major complications. An individualised approach must be taken for the management of IBD patients with acute iliofemoral DVT. Cureus 2021-08-25 /pmc/articles/PMC8460557/ /pubmed/34589335 http://dx.doi.org/10.7759/cureus.17426 Text en Copyright © 2021, Badesha et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Badesha, Arshpreet Singh
Tamber, Kajal Kaur
Powezka, Katarzyna
Hodge, Stacie
Khan, Taha
Management of Acute Iliofemoral Deep Venous Thrombosis in Inflammatory Bowel Disease – Transitioning From Conservative Management to Early Intervention
title Management of Acute Iliofemoral Deep Venous Thrombosis in Inflammatory Bowel Disease – Transitioning From Conservative Management to Early Intervention
title_full Management of Acute Iliofemoral Deep Venous Thrombosis in Inflammatory Bowel Disease – Transitioning From Conservative Management to Early Intervention
title_fullStr Management of Acute Iliofemoral Deep Venous Thrombosis in Inflammatory Bowel Disease – Transitioning From Conservative Management to Early Intervention
title_full_unstemmed Management of Acute Iliofemoral Deep Venous Thrombosis in Inflammatory Bowel Disease – Transitioning From Conservative Management to Early Intervention
title_short Management of Acute Iliofemoral Deep Venous Thrombosis in Inflammatory Bowel Disease – Transitioning From Conservative Management to Early Intervention
title_sort management of acute iliofemoral deep venous thrombosis in inflammatory bowel disease – transitioning from conservative management to early intervention
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8460557/
https://www.ncbi.nlm.nih.gov/pubmed/34589335
http://dx.doi.org/10.7759/cureus.17426
work_keys_str_mv AT badeshaarshpreetsingh managementofacuteiliofemoraldeepvenousthrombosisininflammatoryboweldiseasetransitioningfromconservativemanagementtoearlyintervention
AT tamberkajalkaur managementofacuteiliofemoraldeepvenousthrombosisininflammatoryboweldiseasetransitioningfromconservativemanagementtoearlyintervention
AT powezkakatarzyna managementofacuteiliofemoraldeepvenousthrombosisininflammatoryboweldiseasetransitioningfromconservativemanagementtoearlyintervention
AT hodgestacie managementofacuteiliofemoraldeepvenousthrombosisininflammatoryboweldiseasetransitioningfromconservativemanagementtoearlyintervention
AT khantaha managementofacuteiliofemoraldeepvenousthrombosisininflammatoryboweldiseasetransitioningfromconservativemanagementtoearlyintervention