01/09/2026
"๐๐จ๐ฎ๐ซ๐ง๐๐ฅ ๐ฅ๐๐ฏ๐ข๐๐ฐ (๐๐)
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Performed on: Monday, July 20, 2026
๐๐๐๐ ๐๐๐๐๐ - ๐๐ง๐๐จ๐ฏ๐๐ฌ๐๐ฎ๐ฅ๐๐ซ ๐๐ก๐๐ซ๐๐ฉ๐ฒ ๐๐จ๐ซ ๐๐๐ญ๐ข๐๐ง๐ญ๐ฌ ๐ฐ_๐๐จ๐ฌ๐ญ-๐๐ก๐ซ๐จ๐ฆ๐๐จ๐ญ๐ข๐ ๐๐ฒ๐ง๐๐ซ๐จ๐ฆ๐ (๐๐๐๐).๐ฉ๐๐
1. ๐๐๐พ ๐จ๐๐ค๐ฅ๐ โถ๏ธ Y, J, C โ T โ N โ t โ P I C O:
2. 2026, NEJM, โ โ RCT โ 225 pxs โ โ(ฦ-up 6m) โ P I C O:
๐
ฟ: adults w_mod-to-sev PTS + image (iliac-vein obstruction)
๐
ธ: endovascular therapy
๐
ฒ: no endovascular therapy
๐
พ: pOC = change in the โ30-point VCSSโ
3. EVIDENCE:
a. PTS af_acute lower-extremity DVT:
i. pain
ii. pruritus
iii. edema
iv. ulceration
b. Common in PROXIMAL DVT โ iliac-vein obstruction
4. METHODS.
๐
ธ
- iliac-vein stent
- antiCOA โฅ6m
- aspirin
- knowledge
Both ๐
ธ + ๐
ฒ received SOC
SOC = knee-high compression stockings + antiCOA according to r f_recurrent DVT
5. RESULTS.
a. Baseline โ ๐
พ 12 pts
b. 6m โ ๐
พ (p common โ 12%
ii. ๐
ฒ < common โ 4%
e. More-potent antithrombotic TTO
i. ๐
ธ 71%
ii. ๐
ฒ 21%
6. RATIONALE
a. Less-experienced operators may NOT APPLY to this study.
b. Notice:
7. SOURCE โถ๏ธ Vedantham S, et al. Endovascular therapy for post-thrombotic syndrome โ A randomized trial. N Engl J Med 2026 Apr 13; [e-pub]. DOI: 10.1056/NEJMoa2519001.
๐ฉ๐ฒ๐ฟ ๐บรก๐ ๐ฒ๐ป: https://www.inaaqc.org/journal_reviews_2026"