Deep vein thrombosis (DVT) is a major global health concern that affects millions of people annually. Healthcare practitioners, researchers, and industry players must comprehend the market scenario as the prevalence of this vascular condition rises.
According to NIH, deep vein thrombosis are frequent, "silent" conditions that are missed or discovered only after an autopsy. As a result, it is common to underestimate the incidence and prevalence. Lower limb DVT is thought to occur in one instance out of every 1000 people, with an annual incidence of 80 cases per 100,000 people. More than 200,000 Americans get venous thrombosis each year, and 50,000 of those instances are worsened by pulmonary embolism. Research from the United States indicates that African Americans and Whites have a higher incidence of DVT and a higher risk of complications than Hispanics and Asians.
Venous reflux is hampered by the obstructive conditions known as deep vein thrombosis (DVT). The upper limb venous system is typically affected by DVT, as clots develop in deep calf veins and spread proximally. It is a common venous thromboembolic (VTE) condition, occurring one in every 1000 years. Distal veins account for 40% of the rate of involvement, popliteal veins for 16%, femoral veins for 20%, common femoral veins for 20%, and iliac veins for 4%, depending on the anatomical location.
A blood clot known as a deep-vein thrombosis (DVT) develops in the deep veins, commonly in the legs, but it can also happen in the arms, mesenteric, and cerebral veins.
Deep vein thrombosis is a prevalent and significant illness. After heart attacks and strokes, it is the third most prevalent cause of death from cardiovascular illness and falls under the category of venous thromboembolism disorders. Major causes of morbidity, even in patients without pulmonary emboli, include "post-thrombotic syndrome" and recurrent thrombosis.
Most pulmonary embolism instances are caused by a serious medical condition called deep-vein thrombosis. Reducing morbidity requires early diagnosis and treatment.
Causes
Several factors that impact deep vein blood flow and raise the possibility of blood clot development. Among them are:
Normal blood flow and clotting is disrupted by a fractured hip or leg, severe surgery on the hip, knee, or lower leg, or both. Blood clots in veins in orthopedic cases are mostly caused by three factors: impaired veins, poor blood flow, and hypercoagulation.
The risk factors that are thought to be the root causes of DVT include cancer, some autoimmune diseases, including lupus, smoking cigarettes, situations that increase the risk of blood clot development, using birth control tablets or estrogens (smoking increases this risk even further). When traveling, extended periods of sitting raise the risk of DVT. This is more likely to occur if you also possess one or more of the previously mentioned risk factors.
Sign & Symptoms
Approximately fifty percent of people with DVT never have any symptoms at all. Leg soreness and calf muscle tenderness are the most typical symptoms. Additionally, one leg may appear swollen or turn blue or purple in color. These indicators. These symptoms could emerge quickly or gradually over a brief period. Among the signs and symptoms of a DVT are:
Imaging Test
For DVT, duplex ultrasound is the most often used test. High-frequency sound waves are employed in ultrasounds, and they reverberate off the body, much as the technology used to monitor fetal health. This makes the blood vessels seem like a picture. By combining Doppler technology with conventional ultrasound technology, duplex ultrasound creates a color image that depicts blood flowing through the body.
Ultrasound is a painless and noninvasive technology. Since it doesn't involve radiation, it can be done often. When a blood clot is not the cause of your symptoms, duplex ultrasonography assists identify alternative explanations.
An MRI creates finely detailed, cross-sectional pictures of internal body systems, such as veins and blood vessels. The examination is noninvasive and painless. An MRI is a rare but useful tool used by some clinicians to find blood clots in the thigh and pelvis. With MRI, both legs can be seen simultaneously. On the other hand, individuals who have pacemakers or other implanted devices use it.
This test makes an image of the legs and feet's veins using dye and X-rays. A sizable vein in the foot or ankle is used to receive the dye injection. It enhances the visibility of blood vessels on X-rays. The test is rarely performed because it is intrusive. Other examinations, such ultrasounds, are frequent.
Using a computed tomography (CT) scan, gives internal body structures. A CT scan is used by doctors to detect blood clots in the lungs (pulmonary embolism) and DVT in the abdomen, pelvis, or brain.
D-Dimer Blood Test
One type of protein that blood clots manufacture is called D dimer. D dimer levels are elevated in nearly all cases of severe DVT. Frequently, this test aids in ruling out pulmonary embolism (PE).
Diagnostic Market Players |
Diagnostic Product |
GE Healthcare |
Optima™ CT |
Siemens Healthineers |
MAGNETOM® |
Thermo Fisher Scientific |
Vereos™ |
Canon Medical Systems |
Discovery™ CT |
Philips Healthcare |
SIGNA™ MRI |
Shimadzu Corporation |
SIGNA™ Pioneer |
Ganesh Diagnostic & Imaging Centre Pvt. Ltd. |
Revolution™ CT |
Chakra Biomed Private Limited |
Discovery™ PET/CT |
AdvaCare Pharma |
Discovery™ MI |
Getein Biotech, Inc. |
Vereos™ |
FUJIFILM Sonosite |
LOGIQ™ |
CTK Biotech, Inc. |
AccuQuick™ |
|
Getein |
|
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The goals of DVT treatment are to lower morbidity, avoid or reduce the risk of pulmonary embolism, and prevent or minimize the development of post-thrombotic syndrome.
Anticoagulation is the mainstay of treatment. According to NICE guidelines, only patients with pulmonary emboli and proximal DVT—not distal DVT—should be treated. The advantages and disadvantages of anticoagulation must be considered for each patient. Treatment for DVT lasts three to six months, although it may take up to twelve months if the condition recurs. Cancer patients require ongoing care.
The primary approach to treating DVT should be based on the underlying cause of the condition, which is as follows:
Medication
Anticoagulant: These medications lessen the blood's capacity to clot. Anticoagulants include heparin and warfarin, for instance. Additional anticoagulants, such as enoxaparin, dabigatran, apixaban, and rivaroxaban, are also utilized. Bleeding is the most common adverse consequence of blood thinners.
Thrombolytic agents: The doctor advises utilizing thrombolytics in specific situations. These clot-dissolving drugs are only used in cases when there is an exceedingly high danger of pulmonary embolism. They are injected directly into the blood clot via a catheter.
Surgical Measures
Vena Cava Filter: If anticoagulants fail to prevent the growth of a blood clot, or if have a medical condition that makes it impossible to take anticoagulation drugs, doctor advises surgery to place a small device called a vena cava filter into the major vein that supplies heart. Most blood clots that are going through the bloodstream will be caught by this filter before they enter the lungs and result in a PE or DVT.
Compression Devices
After surgery, intermittent pneumatic compression devices guard against dangerous blood clots. These gadgets are used by people who are unable to walk to maintain blood flow in their legs. These gadgets serve as a substitute for blood thinners.
In addition, compression stockings made of graded elastic are tight at the ankle and loose as they rise the leg. Because of the compression they produce, blood does not pool in the veins, which may improve circulation.
Treatment Market Players |
|
Medicines |
Surgeries & Devices |
Aspen Holdings |
Boston Scientific Corporation |
Glenmark Pharmaceuticals Inc |
Cardinal Health |
Bristol-Myers Squibb Company |
Terumo Europe NV |
Daiichi Sankyo Company, Limited |
Canon Medical Systems |
Johnson & Johnson Services, Inc. |
Samsung Healthcare |
Tianyu Pharmaceutical Co., Ltd. |
Siemens Healthcare Private Limited |
Neuland Laboratories Ltd |
Abbott |
BoehringerIngelheim GmbH |
Zimmer Biomet |
Bayer AG |
Mego Afek AC LTD |
|
ThermoTek USA |
|
Medline Industries, LP |
|
B. Braun Interventional Systems, Inc. |
Treatment Products |
|
Medicine |
Devices |
Xarelto® |
ALN Optional Filter |
Pradaxa® |
ALN Optional Filter with Hook |
Lixiana® |
VenaTech Convertible Filter |
Lovenox® |
VenaTech LP Filter |
Abbokinase |
Cordis |
Kinlytic® |
Günther Tulip Filter |
Abbokinase |
|
Eliquis® |
|
Over the past few years, there has been a notable increase in the worldwide market for deep vein thrombosis (DVT). The pharmaceutical and healthcare industries are changing quickly due to technological advancements, rising healthcare costs, and bettering healthcare infrastructure and procedures. Around the world, many clinics, hospitals, and ambulatory surgical care facilities are implementing cutting-edge machinery and gadgets. Deep vein thrombosis (DVT) revenue growth is largely driven by factors like rising chronic disease prevalence, quick medical and healthcare advancements, widespread use of the newest tools and techniques, and expanding funding from both public and private sources. Furthermore, there is a growing emphasis on medication development, a growing need for precision medicine, a high uptake of home care settings and point-of-care diagnostics, and a rise in funding for research and development.
Guidelines for precise diagnosis, appropriate labeling, and transparent disclosure of potential hazards and benefits to patients and healthcare professionals have been offered by regulatory authorities. The regulatory bodies that have granted key approvals to treat and cure DVT conditions are given below.
15 November 2023, TGA has approved Heparin INTERPHARMA of Interpharma Pty Ltd. Heparin Interpharma (heparin sodium) was approved for the therapeutic use in Prophylaxis and treatment of deep vein thrombosis for use in patients 18 years and older.
Furthermore, TGA has given approval and registered various generic medicines for treatment of Deep Vein Thrombosis in 2023. Some of the registered generic drugs are listed below:
The importance of clinical trials in the field of evidence-based medicine and healthcare evolution has been highlighted by the government's spreading emphasis on relative effectiveness studies. One of the main goals of the healthcare revolution is achieved with the assistance of clinical data, which allows market participants to compare medical therapies accurately.
Phase 1 |
Phase 2 |
Phase 3 |
phase 4 |
Mechanisms of Deep Vein Thrombosis (DVT) and Vein Wall Fibrosis |
Mechanisms of Deep Vein Thrombosis (DVT) and Vein Wall Fibrosis |
Prophylactic vs Therapeutic Anticoagulation in Symptomatic Isolated Distal Deep Vein Thrombosis |
Study Evaluation of Recombinant Hirudin in Prophylaxis of Post-Operative Deep Vein Thrombosis |
PET Fibrin Imaging of DVT and PE |
Diagnostic Validity of [18F]GP1 PET for Diagnosing Acute Deep Vein Thrombosis |
Rivaroxaban for the Prevention of Deep Vein Thrombosis in Patients with Left Iliac Vein Compression - The PLICTS Study |
The Danish Non-Vitamin K Antagonist Oral Anticoagulation Study in Patients with Venous Thromboembolism (DANNOAC-VTE) |
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Catheter-Related Early Thromboprophylaxis with Enoxaparin Studies |
Catheter-Related Early Thromboprophylaxis with Enoxaparin Studies |
Pre-operative Enoxaparin in the Surgical Management of Multi-trauma Patients Undergoing Orthopedic Surgical Procedures |
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A Trial to Learn How Well REGN9933 Works for Preventing Blood Clots After Knee Replacement Surgery in Adult Participants |
A Study Comparing Abelacimab to Dalteparin in the Treatment of Gastrointestinal/Genitourinary Cancer and Associated VTE |
A Trial of a Hospital Policy of Tranexamic Acid Use to Reduce Transfusion in Major Non-cardiac Surgery |
DiseaseLandscape Insights (DLI) helps the industry by expediting patient recruitment, clinical trial protocols, and regulatory compliance for new medicines. DLI contributes to the objective of the healthcare industry of developing breakthrough technologies that radiate commercial potential in the portfolio of DVT therapies.
DLI services intend to assess the burden caused by the DVT condition by considering a variety of factors that suggest future market trends for pharmaceutical companies conducting research & development for DVT diagnostic tools and medications. DiseaseLandscape Insight disseminates market analysis and business insights developed by highly trained and informed industry analysts.
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