Classification and treatment of endothermal heat-induced thrombosis: Recommendations from the American Venous Forum and the Society for Vascular Surgery This Practice Guidelines document has been co-published in <i>Phlebology</i> [DOI: 10.1177/0268355520953759] and <i>Journal of Vascular Surgery: Venous and Lymphatic Disorders</i> [DOI: 10.1016/j.jvsv.2020.06.008]. The publications are identical except for minor stylistic and spelling differences in keeping with each journal's style. The contribution has been published under a Attribution-Non Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0), (https://creativecommons.org/licenses/by-nc-nd/4.0/).

dc.contributor.author

Kabnick, Lowell S

dc.contributor.author

Sadek, Mikel

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Bjarnason, Haraldur

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Coleman, Dawn M

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Dillavou, Ellen D

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Hingorani, Anil P

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Lal, Brajesh K

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Lawrence, Peter F

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Malgor, Rafael

dc.contributor.author

Puggioni, Alessandra

dc.date.accessioned

2022-11-01T13:21:35Z

dc.date.available

2022-11-01T13:21:35Z

dc.date.issued

2021-02

dc.date.updated

2022-11-01T13:21:34Z

dc.description.abstract

The American Venous Forum (AVF) and the Society for Vascular Surgery set forth these guidelines for the management of endothermal heat-induced thrombosis (EHIT). The guidelines serve to compile the body of literature on EHIT and to put forth evidence-based recommendations. The guidelines are divided into the following categories: classification of EHIT, risk factors and prevention, and treatment of EHIT.One major feature is to standardize the reporting under one classification system. The Kabnick and Lawrence classification systems are now combined into the AVF EHIT classification system. The novel classification system affords standardization in reporting but also allows continued combined evaluation with the current body of literature. Recommendations codify the use of duplex ultrasound for the diagnosis of EHIT. Risk factor assessments and methods of prevention including mechanical prophylaxis, chemical prophylaxis, and ablation distance are discussed.Treatment guidelines are tailored to the AVF EHIT class (ie, I, II, III, IV). Reference is made to the use of surveillance, antiplatelet therapy, and anticoagulants as deemed indicated, and the recommendations incorporate the use of the novel direct oral anticoagulants. Last, EHIT management as it relates to the great and small saphenous veins is discussed.

dc.identifier.issn

0268-3555

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1758-1125

dc.identifier.uri

https://hdl.handle.net/10161/26121

dc.language

eng

dc.publisher

SAGE Publications

dc.relation.ispartof

Phlebology

dc.relation.isversionof

10.1177/0268355520953759

dc.subject

Saphenous Vein

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Humans

dc.subject

Thrombosis

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Venous Thrombosis

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Varicose Veins

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United States

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Hot Temperature

dc.title

Classification and treatment of endothermal heat-induced thrombosis: Recommendations from the American Venous Forum and the Society for Vascular Surgery This Practice Guidelines document has been co-published in Phlebology [DOI: 10.1177/0268355520953759] and Journal of Vascular Surgery: Venous and Lymphatic Disorders [DOI: 10.1016/j.jvsv.2020.06.008]. The publications are identical except for minor stylistic and spelling differences in keeping with each journal's style. The contribution has been published under a Attribution-Non Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0), (https://creativecommons.org/licenses/by-nc-nd/4.0/).

dc.type

Journal article

duke.contributor.orcid

Coleman, Dawn M|0000-0001-5622-7253

pubs.begin-page

8

pubs.end-page

25

pubs.issue

1

pubs.organisational-group

Duke

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School of Medicine

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Faculty

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Clinical Science Departments

pubs.organisational-group

Surgery

pubs.organisational-group

Surgery, Vascular and Endovascular Surgery

pubs.publication-status

Published

pubs.volume

36

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