Open AccessControversies in the management of venous thromboembolism
Author(s) -
James Lamberti
Publication year - 2019
Publication title -
journal of precision respiratory medicine
Language(s) - English
Resource type - Journals
eISSN - 2637-4277
pISSN - 2637-4269
DOI - 10.2500/jprm.2019.190001
Subject(s) - medicine , pulmonary embolism , venous thromboembolism , deep vein , intensive care medicine , inferior vena cava filter , venous thrombosis , thrombosis , inferior vena cava , surgery
Background: Venous thromboembolism (VTE) includes pulmonary embolism (PE) and deep vein thrombosis (DVT), and is frequently encountered in both inpatient and outpatient settings. Methods: This review examines three significant controversies in the management of VTE. Results: Thrombolytic therapy has been available for >50 years, yet its role in the management of acute PE remains controversial. The role of interruption of the venous system by insertion of an inferior vena cava filter into a VTE is a therapeutic challenge for hospital-based physicians. The duration of anticoagulation as therapy for VTE is a challenge for many outpatient physicians. Conclusion: Review of recent literature will guide clinicians in the management of venous thromboembolism.