This report summarizes the available data comparing surgical to thrombolytic therapy in the management of patients with three clinical thrombotic conditions—deep vein thrombosis, pulmonary embolism, and acute peripheral arterial occlusion. We conclude that thrombolysis is superior to surgery in the treatment of deep vein thrombosis and pulmonary embolism, whereas the opposite is true of peripheral arterial occlusion. A more difficult decision is the choice between heparin anticoagulation and thrombolytic therapy for deep vein thrombosis and pulmonary embolism. The preliminary results with the use of thrombolytic agents for these conditions are most encouraging, but more data will be required to assess the ultimate role of thrombolytic therapy in treating these conditions.
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine