In this large study of patients with acute ileofemoral DVT, they were randomized to anticoagulation with or without catheter directed thrombolysis. At 2 years, rates of post-thrombotic syndrome were significantly lower in those undergoing thrombolysis (41% vs 56%). For these types of patients, catheter directed thrombolysis should be considered, if locally available (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.