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Treatment strategies for proximal deep vein thrombosis: a network meta-analysis of randomised controlled trials.

Ashrafi M, Ahmad SA, Antoniou SA, Khan T, Antoniou GA.

Eur J Vasc Endovasc Surg 2022; 63: 323-334.

Seven RCTs were examined. Active clot removal strategies resulted in higher patency than anticoagulation alone for proximal (iliofemoral) DVTs. Complication rates were similar. Active treatments have not been shown to reduce post thrombotic syndrome.

Comment: Lots more work to be done here before active clot removal can be recommended routinely.

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