Document Detail


The ATTRACT trial: rationale for early intervention for iliofemoral DVT.
MedLine Citation:
PMID:  20047905     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The management of acute deep vein thrombosis (DVT) by medical therapy with anticoagulation has long been supported by evidence-based clinical practice guidelines outlined in the American College of Chest Physicians supplement. Early thrombus removal in patients with iliofemoral DVT has been reported to lead to improved venous valve function, improved quality of life, and decreased incidence of postthrombotic syndrome over anticoagulation alone. The ATTRACT trial will randomize patients to medical management with standard anticoagulation versus catheter-directed thrombolysis in addition to standard anticoagulation after stratification to iliofemoral versus femoropopliteal DVT in order to determine the primary outcome of postthrombotic syndrome over a 24-month follow-up.
Authors:
Anthony J Comerota
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Publication Detail:
Type:  Clinical Trial, Phase III; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-01-03
Journal Detail:
Title:  Perspectives in vascular surgery and endovascular therapy     Volume:  21     ISSN:  1521-5768     ISO Abbreviation:  Perspect Vasc Surg Endovasc Ther     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-07-14     Completed Date:  2010-10-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100970607     Medline TA:  Perspect Vasc Surg Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  221-4; quiz 224-5     Citation Subset:  IM    
Affiliation:
Jobst Vascular Center, The Toledo Hospital, Toledo, OH 43606, USA. marilyn.gravett@promedica.org
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00790335
Export Citation:
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / therapeutic use*
Catheterization, Peripheral*
Femoral Vein*
Fibrinolytic Agents / administration & dosage*
Humans
Iliac Vein*
Postthrombotic Syndrome / etiology,  prevention & control*
Research Design
Thrombolytic Therapy / methods*
Treatment Outcome
United States
Venous Thrombosis / complications,  drug therapy*
Grant Support
ID/Acronym/Agency:
U01HL088018/HL/NHLBI NIH HHS; U01HL088476/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Fibrinolytic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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