Catheter directed thrombolysis for DVT: what are the current recommendations?

Here’s from the latest review:

Highlights

•The initial treatment of acute DVT influences late complications.

•Post-thrombotic syndrome affects 40% of patients with symptomatic DVT.

•Catheter-directed thrombolysis (CDT) rapidly eliminates clot but increases bleeding.

•Randomized trials are inconclusive on whether CDT provides long-term benefit.

•A highly individualized approach should be used for patient selection.

That’s exactly the recommendation of the ACCP guidelines.