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New and Updated Cochrane Systematic Reviews
Pharmacomechanical thrombectomy for iliofemoral deep vein thrombosis Authors' conclusions: There were no randomised controlled trials that assessed the effects of pharmacomechanical thrombectomy versus anticoagulation (alone or with compression stockings), mechanical thrombectomy, thrombolysis, or other endovascular techniques in the management of people with acute DVT of the iliofemoral vein that met the eligibility criteria for this review. Further high quality randomised controlled trials are needed.
Pentasaccharides for the prevention of venous thromboembolism Authors' conclusions : Moderate to high quality evidence shows that fondaparinux is effective for short-term prevention of VTE when compared with placebo. It can reduce total VTE, DVT, total PE and symptomatic VTE, and does not demonstrate a reduction in deaths compared with placebo. Low to moderate quality evidence shows that fondaparinux is more effective for short-term VTE prevention when compared with LMWH. It can reduce total VTE and total DVT and does not demonstrate a reduction in deaths when compared with LMWH. However, at the same time, moderate to high quality evidence shows that fondaparinux increases major bleeding when compared with placebo and LMWH. Therefore, when fondaparinux is chosen for the prevention of VTE, attention should be paid to the person's bleeding and thrombosis risks. Most data were derived from patients undergoing orthopaedic surgery. Therefore, the conclusion predominantly pertains to these patients. Data on fondaparinux for other clinical conditions are sparse.
GOV.UK Guidance: Reporting adverse incidents: coronary stents has being updated. Surgeon Outcomes:The Vascular Society of Great Britain and Ireland ( VSQIP) has published surgical outcomes for two common vascular procedures: elective repair of abdominal aortic aneurysm (AAA), and carotid endarterectomy (CEA).
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Training and event. Free Registration available for the European Vascular Course. Details here
