Treatment of acute and chronic deep vein thrombosis – online course
Please note that this course is no longer CME accredited, but we are working on a new accredited version.
Authors: R. de Graaf and G. O’Sullivan
Reviewers: T. Jahnke, L. Kamper, C. Nice, D. Tsetis and R. Uberoi
This course corresponds to chapters 220.127.116.11 Venous Disorders, 18.104.22.168.1 Venous thrombosis and insufficiency and 22.214.171.124.2 Pulmonary thromboembolic disease in the European Curriculum and Syllabus for IR.
Deep venous intervention is an area that was barely taught when we were at the start of our interventional radiological careers, and yet now, it is something the two authors perform perhaps 70% of their working lives. So, what has changed?
From the early 1990s to now there has been a significant shift in the management of patients with venous disease. Venous thrombo-embolism (VTE) remains a huge public health issue, killing more patients in Western Europe than the combined total of AIDS, breast cancer, prostate cancer and road traffic accidents.
For many decades, DVT was only treated conservatively by oral anticoagulants and compression. We now know that up to 50% of DVT patients undergoing conservative management develop post-thrombotic syndrome. Bypass surgery has never been fully adopted as a treatment option due to poor long-term results and invasiveness. Over the last two decades, however, endovascular treatment has been introduced, improved and established as the primary treatment strategy to treat chronic deep venous obstructions.
- Become familiar with different imaging techniques for pre-, peri-, and post-operative situations.
- Understand the differences in approach between acute and chronic intervention.
- How to approach a patient with acute deep venous disease; and how to choose those patients most likely to benefit.
- Know the indications and contra-indications which apply for different forms of thrombus removal.
- Understand the rational for stent placement, and know how to safely deploy stents.
- How to achieve good outcomes following deep venous intervention by adhering to certain principles.
Note: We intend to concentrate on the lower limbs in this course.
This course covers a basic level of IR knowledge and is designed for trainees, students or young consultants aiming to acquire essential knowledge or prepare for the EBIR exam. Thereby, it is tailored to the European Curriculum and Syllabus for IR and corresponds to chapters 126.96.36.199 Venous Disorders, 188.8.131.52.1 Venous thrombosis and insufficiency and 184.108.40.206.2 Pulmonary thromboembolic disease.
The format of the course is interactive and easy to use, including texts, graphics, videos and a quiz to support your learning. The course duration is around one hour.
Access to complete and revisit the course is granted for an enrolment period of 90 days.
Release date: July 2019