RADVILL

  • Research type

    Research Study

  • Full title

    Risk Acceptance for Deep Venous Interventions for the Lower Limb

  • IRAS ID

    324000

  • Contact name

    Robert Hinchliffe

  • Contact email

    robert.hinchliffe@bristol.ac.uk

  • Sponsor organisation

    Univeristy of Bristol

  • Duration of Study in the UK

    0 years, 5 months, 31 days

  • Research summary

    This study investigates the risk acceptance of both patients and healthcare professionals towards invasive interventions for acute iliofemoral deep vein thrombosis and post-thrombotic syndrome.
    Acute deep vein thrombosis (DVT) in the long term can lead to the development of post-thrombotic syndrome (PTS) in some patients, which can significantly limit a patient’s ability to carry out daily life activities. Results from recent research studies have shown that patients with acute extensive DVT who undergo minimally invasive blood clot clearance procedures may have a lower risk of developing PTS compared to patients who only received blood thinners. In patients with established PTS, minimally invasive procedures like angioplasty (stretching/dilation of veins with balloons) and stenting (insertion of metallic mesh tubes) have shown promise in alleviating patients’ symptoms and improving quality of life, compared to routine therapies. These minimally invasive therapies are still relatively novel and are associated with additional risk of complications over and above those of standard none-invasive therapies. The purpose of this study is to investigate the risk tolerance of patients compared to clinicians towards invasive intervention for extensive DVT, and to hopefully guide shared clinical decision making in the best interest of patients’.
    Patients who have had a history of acute DVT, and healthcare professionals who had experience treating acute DVT or PTS will be eligible for the study.
    Participants will be interviewed via Microsoft Teams virtual meeting or telephone. A modified standard gamble method will be used to assess the risk acceptance of both patients and healthcare professionals towards invasive interventions for acute iliofemoral deep vein thrombosis and post-thrombotic syndrome. The patients and clinicians risk acceptance will be compared.

  • REC name

    HSC REC A

  • REC reference

    23/NI/0051

  • Date of REC Opinion

    18 Apr 2023

  • REC opinion

    Further Information Favourable Opinion