Functional Status of the Deep Venous System After an Episode of Deep Venous Thrombosis

Thrombophlebitis is a common condition which can lead to deep venous thrombosis (DVT) and subsequent pulmonary embolism (PE). Thrombophlebitis can reach the deep venous system via the long or short saphenous vein or via perforating veins. Between the 1 st of January 1999 and the 31 st of December 2000 a total of 17 cases of superficial (or ascending) thrombophlebitis closer than 5 cm to the deep venous system were surgically treated in our clinic. 14 times the long saphenous vein was affected and 3 times the short saphenous vein. The age of the nine females and seven males ranged from 31 to 77 (mean of 54.6) years. Duplex ultrasound was performed in all patients. In the case of a deep venous thrombosis (four cases) a computer tomography scan (CT) of the pelvis and abdomen was performed to define the extension of DVT. In all 17 (100%) cases a high ligation (crossectomy) and in four (23.5%) cases a venous thrombectomy was performed. In all of these four cases the DVT was limited to the common femoral vein. In all seventeen procedures including venous thrombectomy there was no mortality and no relevant morbidity. Mean hospitalization time was 3.1 days for crossectomy with thrombectomy, and 1.8 days for crossectomy alone. Follow-up has been so far uneventful (mean follow-up time being 12 months in the case of a DVT). In the literature there is no clear concept of how to treat, conservatively or operatively, ascending thrombophlebitis. The surgical procedure can be performed under local anesthesia, and it is safe and efficient.

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Functional Status and Its Related Factors Among Stroke Survivors in Rehabilitation Departments of Hospitals in Shenzhen, China

10.21203/rs.3.rs-1211630/v1 ◽

2022 ◽

Author(s):

Jing Zhou ◽

Fang Liu ◽

Mingchao Zhou ◽

Jianjun Long ◽

Fubing Zha ◽

...

Keyword(s):

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Functional Status ◽

Pulmonary Infection ◽

Older Age ◽

Stroke Survivors ◽

Community Group ◽

Factors Associated ◽

Domestic Group ◽

Poor Functional Status

Abstract Background: Many stroke survivors have multiple chronic diseases and complications, coupled with various other factors which may affect their functional status. We aimed to investigate the factors associated with poor functional status in hospitalized patients with stroke in Shenzhen, China.Methods: This is a cross-sectional study. Data on 646 patients with stroke were recruited from four urban hospitals using cluster sampling. The Longshi Scale was used to assess the functional status of stroke survivors. Explanatory variables, i.e. factors affecting functional status, included demographic, lifestyle factors, complications, and chronic conditions. The ordinal logistic regression model was used to investigate factors associated with poor functional status. Results: Stroke survivors with poor functional status accounted for 72.14% and were assessed as the bedridden group based on the Longshi scale, 21.67% of patients with moderate functional limitation were assessed as the domestic group and 6.19% of the patients with mild functional restriction was assessed as the community group. The highest dependence was noted for feeding (73.39%), bowel and bladder management (69.74%), and bedtime entertainment (69.53%) among the bedridden group, and housework (74.29%) among the domestic group. In the adjusted model, patients who were in older age groups (odds ratio [OR] = 2.39, 95% CI: 1.55–3.80), female (OR = 1.73, 95% CI: 1.08–2.77), duration of stroke more than 12 months (OR = 1.94, 95% CI: 1.28–2.95), with pulmonary infection (OR = 10.91, 95% CI: 5.81–20.50), and with deep venous thrombosis (OR = 3.00, 95% CI: 1.28–7.04) had almost or more than two times the risk of poorer functioning.Conclusions: Our study found that 72.14% of stroke survivors had poor functional status, 21.67% and 6.19% of stroke survivors had moderate functional limitations and mild functional restrictions in rehabilitation settings. The older age bracket (age ≥ 60) and females were more likely to exhibit poor functioning. Pulmonary infection and deep venous thrombosis, both common post-stroke complications, were related to the increased chance of dependence. Therefore, interventions aimed at treating or preventing pulmonary infection and deep vein thrombosis need to contribute to addressing these circumstances and subsequent dysfunction after stroke.

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Oral Contraceptive Induced Cerebral Venous Thrombosis Treated by Local Catheter Directed Thrombolysis

Interventional Neuroradiology ◽

10.1177/159101990401000406 ◽

2004 ◽

Vol 10 (4) ◽

pp. 321-328 ◽

Cited By ~ 1

Author(s):

V. Prochazka ◽

J. Rajner ◽

M. Prochazka ◽

J. Dvorak ◽

V. Cizek

Keyword(s):

Venous Thrombosis ◽

Cerebral Venous Thrombosis ◽

Interventional Therapy ◽

Venous System ◽

Heparin Infusion ◽

Unfractioned Heparin ◽

Deep Venous System ◽

Catheter Directed Thrombolysis ◽

Rapid Flow ◽

Flow Restoration

We report on a case of cerebral venous thrombosis (CVT) induced by oral contraception (OC) activated coagulopathy and its endovascular treatment. Deep venous system and dural sinuses thrombosis complicated with severe neurological deficit and coma due to right thalamic edema and ischemia in a young woman was treated by local thrombolysis with an administration of 0.6 mg/h of the rtPA and the concomitant intravenous unfractioned heparin infusion (700 IU/h). 3D-Xra digital rotational venography performed at the beginning and after treatment confirmed thrombus resolution with rapid flow restoration. Dynamic flow imaging gives interesting information on the deep venous system and the cortical venous collectors drainage. Final NIHSS (National Institute of Health Stroke Scale) and mRS (modified Rankin Scale) confirmed an excellent clinical outcome of the interventional therapy.

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Nephrotic Syndrome Complicated with Deep Venous Thrombosis in the Upper Extremities

Case Reports in Nephrology and Dialysis ◽

10.1159/000365567 ◽

2014 ◽

Vol 5 (1) ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Akira Onishi ◽

Makoto Inoue ◽

Toshimi Imai ◽

Shin-ichi Takeda ◽

Mariko Kondo ◽

...

Keyword(s):

Nephrotic Syndrome ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Upper Extremity ◽

Upper Limb ◽

Upper Extremities ◽

Venous System ◽

First Case ◽

Left Subclavian Vein ◽

Clinical Illness

Deep venous thrombosis (DVT) in the upper extremities is a rare but important clinical illness, which leads to severe complications such as pulmonary embolism. Unlike DVT in the lower extremities, which is mainly induced by a hypercoagulable state, DVT in the upper extremities is usually caused by mechanical obstruction or anatomical stenosis in the venous system. We herein report a case in which DVT developed in the left upper limb during treatment of nephrotic syndrome. This is the first case report of upper-extremity DVT in association with nephrotic syndrome in the literature. Our patient was a 56-year-old male with nephrotic syndrome due to idiopathic membranous nephropathy who was treated with 40 mg/day of prednisolone. During corticosteroid therapy, he developed a swelling of the left upper limb. Computed tomography revealed thrombi in the left internal jugular vein and the left subclavian vein without anatomical abnormalities in his venous system. Thus, he was diagnosed with DVT of the upper extremities. After the initiation of warfarin treatment and subsequent regression of nephrotic syndrome, the swelling disappeared and the thrombi significantly diminished. DVT should be considered when upper-extremity edema is observed in patients with nephrotic syndrome.

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Plantar vein thrombosis and pulmonary embolism

Phlebology The Journal of Venous Disease ◽

10.1177/0268355514520850 ◽

2014 ◽

Vol 30 (1) ◽

pp. 66-69 ◽

Cited By ~ 7

Author(s):

MVL Barros ◽

IS Nascimento ◽

TLS Barros ◽

N Labropoulos

Keyword(s):

Pulmonary Embolism ◽

Case Report ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Respiratory Symptoms ◽

Ultrasound Examination ◽

Careful Evaluation ◽

Deep Venous System ◽

Vein Thrombosis ◽

Ultrasound Investigation

Plantar vein thrombosis is an unusual and under-diagnosed condition that affects the plantar deep venous system. Current ultrasound investigation protocols for deep venous thrombosis neglect this entity. To our knowledge, there are only seven reports in the literature of 20 patients with plantar vein thrombosis detected with sonography without an associated pulmonary embolism. We present a case report of a patient with a plantar vein thrombosis associated with pulmonary embolism. Patients who present with pain and/or swelling of the foot should undergo ultrasound examination and careful evaluation for respiratory symptoms.

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Proximal deep venous thrombosis following PTA of the superficial femoral artery – an obligation to disclose a complication that is rarely taken into account

VASA ◽

10.1024/0301-1526.35.1.41 ◽

2006 ◽

Vol 35 (1) ◽

pp. 41-44 ◽

Cited By ~ 5

Author(s):

Klein-Weigel ◽

Pillokat ◽

Klemens ◽

Köning ◽

Wolbergs ◽

...

Keyword(s):

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Femoral Artery ◽

Superficial Femoral Artery ◽

Rare Complication ◽

Femoral Vein ◽

Vein Thrombosis ◽

Explicit Information ◽

Life Threatening ◽

Legal Consequences

We report two cases of femoral vein thrombosis after arterial PTA and subsequent pressure stasis. We discuss the legal consequences of these complications for information policies. Because venous thrombembolism following an arterial PTA might cause serious sequel or life threatening complications, there is a clear obligation for explicit information of the patients about this rare complication.

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Perforation of inferior vena cava during filter placement

VASA ◽

10.1024/0301-1526/a000087 ◽

2011 ◽

Vol 40 (2) ◽

pp. 157-162 ◽

Cited By ~ 6

Author(s):

Piecuch ◽

Wiewiora ◽

Nowowiejska-Wiewiora ◽

Szkodzinski ◽

Polonski

Keyword(s):

Pulmonary Embolism ◽

Inferior Vena Cava ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Inferior Vena ◽

Vena Cava ◽

Retroperitoneal Hematoma ◽

Ivc Filter ◽

Filter Placement ◽

Therapeutic Method

The placement of an inferior vena cava (IVC) filter is a therapeutic method for selected patients with deep venous thrombosis and pulmonary embolism. However, insertion and placement of the filter may be associated with certain complications. For instance, retroperitoneal hematoma resulting from perforation of the wall by the filter is such a very rare but serious complication. We report the case of a 64-year-old woman with perforation of the IVC wall and consecutive hematoma caused by the filter who was treated surgically.

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Efficacy of compression stockings in preventing post-thrombotic syndrome in patients with deep venous thrombosis: a systematic review and metaanalysis

VASA ◽

10.1024/0301-1526/a000508 ◽

2016 ◽

Vol 45 (2) ◽

pp. 141-147 ◽

Cited By ~ 7

Author(s):

Jakob Martin Burgstaller ◽

Johann Steurer ◽

Ulrike Held ◽

Beatrice Amann-Vesti

Keyword(s):

Systematic Review ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Cochrane Library ◽

Compression Stockings ◽

Post Thrombotic Syndrome ◽

Study Results ◽

Preventive Efficacy ◽

One Year ◽

The Cochrane Library

Abstract. Background: Here, we update an earlier systematic review on the preventive efficacy of active compression stockings in patients with diagnosed proximal deep venous thrombosis (DVT) by including the results of recently published trials. The aims are to synthesize the results of the original studies, and to identify details to explain heterogeneous results. Methods: We searched the Cochrane Library, PubMed, Scopus, and Medline for original studies that compared the preventive efficacy of active compression stockings with placebo or no compression stockings in patients with diagnosed proximal DVT. Only randomized controlled trials (RCTs) were included. Results: Five eligible RCTs with a total of 1393 patients (sample sizes ranged from 47 to 803 patients) were included. In three RCTs, patients started to wear compression stockings, placebo stockings or no stockings within the first three weeks after the diagnosis of DVT. The results of two RCTs indicate a statistically significant reduction in post-thrombotic syndrome (PTS) of 50% or more after two or more years. The result of one RCT shows no preventive effect of compression stockings at all. Due to the heterogeneity of the study results, we refrained from pooling the results of the RCTs. In a further RCT, randomization to groups with and without compression stockings took place six months after the diagnosis of DVT, and in another RCT, only patients with the absence of PTS one year after the diagnosis of DVT were analyzed. One RCT revealed a significant reduction in symptoms, whereas another RCT failed to show any benefit of using compression stockings. Conclusions: At this time, it does not seem to be justifiable to entirely abandon the recommendations regarding compression stockings to prevent PTS in patients with DVT. There is evidence favoring compression stockings, but there is also evidence showing no benefit of compression stockings.

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Is Quantitative Determination of Fibrin(ogen) Degradation Products and Thrombin-Antithrombin III Complexes Useful to Diagnose Deep Venous Thrombosis in Outpatients?

Thrombosis and Haemostasis ◽

10.1055/s-0038-1647113 ◽

1989 ◽

Vol 62 (04) ◽

pp. 1043-1045 ◽

Cited By ~ 12

Author(s):

Paul F M M van Bergen ◽

Eduard A R Knot ◽

Jan J C Jonker ◽

Auke C de Boer ◽

Moniek P M de Maat

Keyword(s):

Quantitative Determination ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Antithrombin Iii ◽

Degradation Products ◽

Family Doctor ◽

Diagnostic Value ◽

Impedance Plethysmography ◽

Fibrin Degradation Products

SummaryWe studied the diagnostic value of recently introduced ELISA’s for the determination of thrombin-antithrombin III (TAT) complexes, fibrin degradation products (FbDP), fibrinogen degradation products (FgDP) and total degradation products (TDP) for deep venous thrombosis (DVT) in plasma of 239 consecutive outpatients, suspected for DVT by their family doctor. DVT was confirmed by impedance plethysmography in 60 patients. Using the 95th percentile range of 42 healthy volunteers the sensitivity for the detection of DVT was: 37% for TAT, 95% for TDP, 92% for FbDP and 90% for FgDP. Specificity was: 88% for TAT, 16% for TDP, 20% for FbDP and 25% for FgDP.We conclude that these assays are of little value in the diagnosis of DVT in outpatients.

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Platelet Adhesiveness and Fibrinolysis after Recent Cerebro-Vascular Accidents and their Relationship with Subsequent Deep Venous Thrombosis of the Legs

Thrombosis and Haemostasis ◽

10.1055/s-0038-1648016 ◽

1976 ◽

Vol 36 (01) ◽

pp. 127-132 ◽

Cited By ~ 11

Author(s):

C. P Warlow ◽

J. A. N Rennie ◽

D Ogston ◽

A. S Douglas

Keyword(s):

Platelet Count ◽

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Plasminogen Activator ◽

Fibrinogen Level ◽

Plasma Fibrinogen ◽

Platelet Adhesiveness ◽

Plasma Fibrinogen Level ◽

Vascular Accidents ◽

Subsequent Rise

SummaryIn fifteen patients with a cerebro-vascular accident resulting in an acute hemiplegia there was a subsequent rise in the platelet count and plasma fibrinogen level. There were no significant alterations in platelet adhesiveness, plasminogen activator, plasminogen, FR-antigen and haematocrit. Patients diagnosed as developing deep venous thrombosis with the 125I-fibrinogen technique had a significantly lower platelet adhesiveness and plasminogen level than those who were not.

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