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

VASA ◽  
2006 ◽  
Vol 35 (1) ◽  
pp. 41-44 ◽  
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.

Abstract WP434: Incidence of Deep Venous Thrombosis Following Endovascular Revascularization via the Femoral Artery Due to Acute Ischemic Stroke

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Nozomi Chiba ◽  
Takahisa Mori ◽  
Kazuhiro Yoshioka
Keyword(s):  
Lower Extremity ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Femoral Artery ◽  
Femoral Vein ◽  
Female Gender ◽  
Stroke Patients ◽  
Median Hospital Stay ◽  
Endovascular Revascularization ◽  
Stroke Center

Introduction: Deep venous thrombosis (DVT) occasionally occurs in lower extremities in stroke patients and possibly causes symptomatic venous thrombosis (VT). To prevent DVT in our stroke center, patients put on both foot pumps and elastic knee stockings after admission. However, in patients who underwent emergency endovascular revascularization via the femoral artery, DVT may often occur because of hemostasis procedures after femoral artery puncture in addition to paralysis and postoperative rest. Hypothesis: Incidence of DVT following endovascular revascularization via the femoral artery probably occurs in the femoral artery ipsilateral to femoral artery puncture. Methods: We included acute stroke patients who 1) were admitted from April 2017 to March 2019, 2) underwent emergency endovascular revascularization via the femoral artery, and 3) underwent lower extremity ultrasonography (le-US) to detect DVT during hospitalization. We investigated incidence of DVT in lower extremity with reference to our Stroke Database. Results: During study period, 56 patients met our inclusive criteria. Their median age was 78.5 years old, female gender was 34 (60.7%) and median hospital stay was 9.0 days. Le-US was conducted about 3.5 days after admission. Le-US detected DVT in 15 patients (26.8%, 15/56). Among them, 10 patients had DVT in the lower thigh vein (17.9%, 10/56) and 5 patients had DVT in the femoral vein ipsilateral to femoral artery puncture (8.9%, 5/56). Hemostasis procedures possibly induced DVT in the femoral vein, although it was uncertain whether hemostasis procedures had some relation to DVT in the lower thigh vein. No symptomatic VT occurred in the 15 patients during hospitalization. Conclusion: Incidence of DVT occurs 8.9% in the femoral vein ipsilateral to femoral artery puncture in the patients after endovascular revascularization. Some strategy is required to prevent any DVT in the femoral artery ipsilateral to femoral artery puncture.

scholarly journals Tuberculosis and Deep Venous Thrombosis, a rare complication of a common disease: A case report

KYAMC Journal ◽  
2017 ◽  
Vol 6 (1) ◽  
pp. 598-600
Author(s):  
Md Moniruzzaman ◽  
Md Saiful Islam ◽  
Shuvodip Chandra ◽  
Anar Koli ◽  
Mirza Jahid Hassan
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Rare Complication ◽  
Public Health Issue ◽  
Common Disease ◽  
Major Public Health Issue ◽  
Prompt Treatment ◽  
High Prevalence ◽  
Life Threatening ◽  
Early Diagnostic

Introduction: Tuberculosis remains an infectious disease with a high prevalence worldwide and represents a major public health issue, especially in our subcontinent. Although venous thromboembolism is a rare complication of this disease, it may be a potentially life threatening event.Case presentation: We report a case of a 43 years male who was diagnosed as a case of pulmonary tuberculosis with tubercular pericardial effusion, developed deep venous thrombosis later in the course of the diseaseConclusion: An association between inflammation induced by tuberculosis and a hypercoagulable state has been described. Therefore, the occurrence of deep venous thrombosis or pulmonary embolic episodes should be considered in patients with tuberculosis particularly during the first weeks of treatment. The physician's awareness of these phenomena is important to an early diagnostic suspicion and prompt treatment in order to prevent fatal outcomes.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 598-600

scholarly journals Upper-Extremity Deep Venous Thrombosis following a Fracture of the Proximal Humerus: An Orthopaedic Case Report

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
John Strony ◽  
Gerard Chang ◽  
James C. Krieg
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Upper Extremity ◽  
Proximal Humerus ◽  
Rare Complication ◽  
Arthroscopic Shoulder Surgery ◽  
Life Threatening ◽  
Surgical Fixation ◽  
High Index Of Suspicion ◽  
Type Of Surgery

Deep venous thrombosis of the lower extremities following orthopaedic surgery is well-documented. Though less common than its lower extremity counterpart, upper extremity deep venous thrombosis (UEDVT) has been documented in the literature as well, largely in the context of arthroscopic shoulder surgery. However, there is a paucity of literature documenting UEDVT following surgical fixation of upper extremity fractures, specifically fractures involving the proximal humerus. We present a case of UEDVT following a fracture to the proximal humerus and subsequent surgery. Though UEDVT is considered a rare complication following this type of surgery based on a lack of documentation within the literature, we believe a high-index of suspicion is required to prevent potentially life-threatening sequelae, such as pulmonary embolism (PE) and post-thrombotic syndrome.

Superficial Femoral Artery Pseudoaneurysm Causing Extensive Deep Venous Thrombosis

1997 ◽  
Vol 31 (4) ◽  
pp. 489-493
Author(s):  
Thomas J. Rishavy ◽  
Lucian J. Rivela ◽  
Steven H. Tyndall
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Artery Pseudoaneurysm

scholarly journals Upper extremity deep venous thrombosis secondary to thyrotoxic periodic paralysis with accompanying hyperphosphatemia and severe hypomagnesemia

2021 ◽  
Vol 9 (41) ◽  
pp. 47-49
Author(s):  
Jasmin Rahesh ◽  
Layan Al-Sukhni ◽  
Baseer Quraishi ◽  
Tarek Naguib
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Upper Extremity ◽  
Periodic Paralysis ◽  
Central Catheter ◽  
Thyrotoxic Periodic Paralysis ◽  
Vein Thrombosis ◽  
Life Threatening ◽  
Characteristic Features ◽  
Deep Vein

Thyrotoxic periodic paralysis is a rare but life-threatening complication of hyperthyroidism. Characteristic features involve thyrotoxicosis, acute paralysis, and hypokalemia. Mild hypomagnesemia and hypophosphatemia are also present in most cases due to the resulting transcellular shift of electrolytes. Complications of thyrotoxic periodic paralysis reported in the literature have included cerebral venous thrombosis as well as lower extremity deep venous thrombosis. We present a patient with an unusual presentation of thyrotoxic periodic paralysis as reflected by hyperphosphatemia, upper extremity deep venous thrombosis and severe hypomagnesemia. This is the first reported case of upper extremity deep vein thrombosis in association with a peripherally inserted central catheter line secondary to thyrotoxicosis.

Pharmacomechanical thrombolysis with a rotator thrombolysis device in iliofemoral deep venous thrombosis

Vascular ◽  
2016 ◽  
Vol 24 (5) ◽  
pp. 481-486 ◽  
Author(s):  
Oguz Karahan ◽  
H Barıs Kutas ◽  
Orcun Gurbuz ◽  
Orhan Tezcan ◽  
Ahmet Caliskan ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Thrombolytic Agent ◽  
Femoral Vein ◽  
Vena Cava ◽  
Early Postoperative Period ◽  
Mortality Risks ◽  
Normal Ranges ◽  
Life Threatening

Objective Deep venous thrombosis (DVT) is a life-threatening and morbid pathology. This study aimed to investigate the efficacy of an early thrombolysis procedure using a rotator thrombolysis device. Methods Sixty-seven patients with acute proximal DVT were enrolled in the study. Patients’ data were recorded retrospectively. Initially, an infrarenal retrievable vena cava filter was placed through the femoral vein. Then, a rotator thrombolysis device and a thrombolytic agent injection were applied to the occluded segments of the deep veins by puncturing the popliteal vein. Results The identified reasons were trauma (43.3%), pregnancy (20.9%), undiagnosed (11.9%), major surgical operation (10.5%), immobilization (7.5%), and malignancy (5.9%). Immediate total recanalization was conducted in all patients, and the leg diameters returned to normal ranges in the early postoperative period. Hospital mortality or severe complications were not detected. Conclusion New thrombolytic devices seem to reduce in-hospital mortality risks and may potentially decrease post-thrombotic morbidity.

Outcome of Anticoagulation in Isolated Distal Deep Vein Thrombosis Compared to Proximal Deep Venous Thrombosis

2021 ◽  
Author(s):  
Danielle T Vlazny ◽  
Ahmed K Pasha ◽  
Wiktoria Kuczmik ◽  
Waldemar E Wysokinski ◽  
Matthew Bartlett ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Vein Thrombosis ◽  
Distal Deep Vein Thrombosis ◽  
Deep Vein

The risk of lower-limb superficial vein thrombosis relative to lower-limb venous thrombotic events is not increased in winter months

2020 ◽  
Vol 35 (7) ◽  
pp. 533-537
Author(s):  
Samir Henni ◽  
Pierre Ramondou ◽  
Guillaume Duval ◽  
Jean Picquet ◽  
Georges Leftheriotis ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Lower Limb ◽  
Homogeneous Distribution ◽  
Superficial Vein ◽  
Chi Square ◽  
Venous Flow ◽  
Vein Thrombosis ◽  
Superficial Vein Thrombosis ◽  
Chi Square Test

Objectives Ambient temperature (that impacts differently venous flow in superficial and deep veins) could have a different effect on the risk of superficial and deep venous thrombosis. We searched for a trimestral variation of the risk of superficial venous thrombosis among all lower-limb thrombotic events (lower-limb thrombotic events = superficial venous thrombosis + deep venous thrombosis). Methods We retrospectively analyzed the results of venous ultrasound investigations performed among 11,739 patients (aged 67 ± 19 years old, 56.1% males) referred for suspected lower-limb thrombotic events over a 12-year period. Chi-square test was used to compare the superficial venous thrombosis/lower-limb thrombotic events ratio observed by trimesters to a homogeneous distribution. Results The proportion of lower-limb thrombotic events were 30.7%, 28.8%, 31.1%, and 31.4% (Chi2: 0.133; p = 0.987) of total investigations, while that of superficial venous thrombosis among all lower-limb venous thrombotic events were 27.2%, 30.0%, 31.4%, and 31.0%, for the first, second, third, and fourth trimesters respectively (Chi2: 0.357; p: 0.949). Conclusion No trimestral variation of the superficial venous thrombosis/lower-limb venous thrombotic events ratio was observed.

The Clinical Diagnosis Of Deep Venous Thrombosis

1981 ◽  
Author(s):  
E Briët ◽  
M J Boekhout-Mussert ◽  
L H van Hulsteijn ◽  
C W Koch ◽  
H W C Loose ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Doppler Ultrasound ◽  
Clinical Examination ◽  
False Positive ◽  
False Negative ◽  
Diagnostic Strategies ◽  
Vein Thrombosis ◽  
Deep Vein

Fifty-three patients were examined because of suspected deep venous thrombosis, by means of clinical examination, Doppler ultrasound and venography. Eighty-two legs were examined with all three methods. Venography was positive in 40 and normal in 42. The clinical examination was false positive in 4 legs and false negative in 6. The Doppler ultrasound studies gave false positive results in 3 legs and false negative results in 6. These results are better than those reported in the literature probably because the thrombosis extended to the popliteal vein or the more proximal veins in 38 of the 40 legs with deep vein thrombosis. This high percentage of upper leg vein thrombosis can be explained by the fact that 47 of the 53 patients were ambulant when they developed the signs and symptoms of thrombosis. It is concluded, that the clinical examination and Doppler ultrasonography can be used to diagnose deep vein thrombosis in ambulant patients in our clinic. We presume that the findings reported in the literature cannot be used indiscriminately as a basis for diagnostic strategies in other hospitals because of widely varying categories of patients, referral patterns and diagnostic criteria that are virtually impossible to standardize.

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