Signs of high embolic risk in iliocaval floating thrombi

There are certain risk factors in patients with deep vein thrombosis, iliocaval floating thrombus and no contraindications to anticoagulation (clot length >70 mm, minimum diameter of floating clot divided into diameter of clot attachment <30% and large lateral tributary near the neck of the thrombus). These ones should probably be classified as a group with extremely high risk of fatal pulmonary embolism and need for endovascular prophylaxis of venous thromboembolic complications (cava filter implantation) in addition to anticoagulation.

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Publication Details

Journal
Pirogov Russian Journal of Surgery
Published
2025-03-19
DOI
https://doi.org/10.17116/hirurgia202503156
Primary Topic
Venous Thromboembolism Diagnosis and Management
Type
article
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article

Signs of high embolic risk in iliocaval floating thrombi

Kirill A. Savostyanov, L.V. Popov, Aleksandr V. Bocharov, A.K. Tsagaeva et al.
Pirogov Russian Journal of Surgery
Venous Thromboembolism Diagnosis and Management
article

Signs of high embolic risk in iliocaval floating thrombi

Kirill A. Savostyanov, L.V. Popov, Aleksandr V. Bocharov, A.K. Tsagaeva, I.V. Olisaev, S.V. Alborov, F.A. Tuaev
article en

Abstract

There are certain risk factors in patients with deep vein thrombosis, iliocaval floating thrombus and no contraindications to anticoagulation (clot length >70 mm, minimum diameter of floating clot divided into diameter of clot attachment <30% and large lateral tributary near the neck of the thrombus). These ones should probably be classified as a group with extremely high risk of fatal pulmonary embolism and need for endovascular prophylaxis of venous thromboembolic complications (cava filter implantation) in addition to anticoagulation.

Pirogov Russian Journal of Surgery(3)
Central Clinical Hospital and Polyclinic (RU), National Medical and Surgical Center named after N.I. Pirogov (RU)
Openalex Percentile: Top 89%
Venous Thromboembolism Diagnosis and Management
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