《欧洲血管外科学会(ESVS)2021年静脉血栓管理临床实践指南》临床热点解读

Interpretation of European Society for Vascular Surgery(ESVS)2021 Clinical Practice Guidelines on the Management of Venous Thrombosis focusing on hot clinical issues

欧洲血管外科学会(ESVS)于2021年在《European Journal of Vascular and Endovascular Surgery》发表了该协会首个静脉血栓诊疗领域的指南:《欧洲血管外科学会(ESVS)2021年静脉血栓管理临床实践指南》,该指南包括了下肢深静脉血栓形成(DVT)、上肢DVT、浅静脉血栓形成(SVT)以及特殊部位血栓形成等方面,共给予了72条推荐意见;同时,除了关于治疗方法的推荐,还包括了健康经济学以及特殊患者人群的相关问题。该指南中的建议是通过对目前可以得到的研究证据进行分析及评估制定的,会对临床实践有较大的借鉴意义,但是,随着技术、证据以及知识的发展,指南可能需要不断更新。笔者团队根据指南更新的循证医学证据,结合临床中的热点问题,对指南给出的推荐意见做重点解读,以期更好地理解指南原则及实用建议。

The first management guidelines in the field of venous thrombosis,European Society for Vascular Surgery(ESVS)2021 Clinical Practice Guidelines on the Management of Venous Thrombosis was published in the European Journal of Vascular and Endovascular Surgery in 2021.The guidelines address acute deep vein thrombosis(DVT)of the lower extremity,upper extremity DVT,superficial vein thrombosis(SVT),and thrombosis in unusual sites,with a total of 72 recommendations.In addition to treatment-related recommendations,the guidelines also cover topics such as health economics and special patient populations.The recommendations in the guidelines have been formulated by analysis and evaluation of the available scientific evidence,and may have great referential value for clinical work.However,as technology,available evidence and disease knowledge continue to advance,the guidelines may need to be updated regularly.Here,the author's team emphatically interprets the recommendations given in the guidelines based on the medical evidence updated in the guidelines and combined with the hot issues in clinical practice,so as to better understand the guiding principles and practical recommendations.