How We Manage Pediatric Deep Venous Thrombosis

Research output: Contribution to journalArticle

Abstract

Over the past two decades, the incidence and recognition of venous thromboembolism (VTE) in children has significantly increased, likely as a result of improvements in the medical care of critically ill patients and increased awareness of thrombotic complications among medical providers. Current recommendations for the management of VTE in children are largely based on data from pediatric registries and observational studies, or extrapolated from adult data. The scarcity of high-quality evidence-based recommendations has resulted in marked variations in the management of pediatric VTE among providers. The purpose of this article is to summarize our institutional approach for the management of VTE in children based on available evidence, guidelines, and clinical practice considerations. Therapeutic strategies reviewed in this article include the use of conventional anticoagulants, parenteral targeted anticoagulants, new direct oral anticoagulants, thrombolysis, and mechanical approaches for the management of pediatric VTE.

Original languageEnglish (US)
Article number00990
Pages (from-to)35-49
Number of pages15
JournalSeminars in Interventional Radiology
Volume34
Issue number1
DOIs
StatePublished - Mar 1 2017

Keywords

  • anticoagulants
  • pediatric
  • thrombolytic therapy
  • venous thromboembolism

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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