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. Author manuscript; available in PMC: 2016 Aug 1.
Published in final edited form as: Vasc Med. 2016 May 30;21(4):400–407. doi: 10.1177/1358863X16650747

Table 3.

Expert panel recommendations for post-thrombotic syndrome (PTS) clinical trial.

Item Recommendation
1 Perform multicenter RCT to assess EVT for iliac-obstructive
PTS
2 Include patients with advanced PTS on Villalta or VCSS scales
3 Open-label study with blinded assessors and adjudicators
4 Primary outcome: change in VEINES-QOL measure at 6 months
5 Utilize run-in period to boost adherence, discourage crossover
6 Engage patient advocacy and health professional organizations
7 Encourage physical activity and risk factor modification
8 Non-proscriptive approach to medical PTS therapy
9 All patients use compression therapy (mainly graduated
stockings)
10 Patients with active ulcer to be managed in specialized clinic
11 EVT = iliac vein stent placement followed by ablation of
saphenous reflux
12 Early engagement of FDA around off-label use of stents

RCT, randomized controlled trial; EVT, endovascular therapy; VCSS, Venous Clinical Severity Score; VEINES-QOL, venous insufficiency epidemiological and economic study quality of life; FDA, Food and Drug Administration.