Adventitial cystic disease of the common femoral vein misdiagnosed as deep vein thrombosis

Purpose To assess the feasibility of identifying deep vein thrombosis characteristics with contrast enhanced magnetic resonance venography. Materials and Methods A total of 53 cases of deep vein thrombosis extending in and/or above the common femoral vein were evaluated by 4 independent observers (2 expert, 2 novice) using pre-determined characteristics to determine the thrombosis present to be acute, sub-acute or old. If present, chronic remnants of a previous deep vein thrombosis were reported. Additionally these image qualifications were compared to the reported duration of complaints. Results In all cases all observers were able to qualify the thrombosis. The interobserver agreement between the experts was excellent (kappa 0.97) and good between expert and novice (kappa 0.82). Thrombosis identified as acute had an average duration of complaints of 6,5 (2–13) days, sub‐acute 13 (8–18) days and old 22 (15–32) days. Conclusion Qualification of thrombosis as acute, sub-acute or old and identification of chronic remnants of DVT with CE-MRV using routinely identifiable characteristics is feasible and reproducible with good to excellent interobserver agreement.

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Adventitial cystic disease of the femoral vein accompanied by deep vein thrombosis

Interactive Cardiovascular and Thoracic Surgery ◽

10.1093/icvts/ivab040 ◽

2021 ◽

Author(s):

Hideki Kunimoto ◽

Kentaro Honda ◽

Ryo Nakamura ◽

Yoshiharu Nishimura

Keyword(s):

Deep Vein Thrombosis ◽

Femoral Vein ◽

Anticoagulation Therapy ◽

Rare Condition ◽

Surgical Approaches ◽

Cystic Disease ◽

Vein Thrombosis ◽

Adventitial Cystic Disease ◽

Long Term Prognosis ◽

Deep Vein

Abstract Adventitial cystic disease of the femoral vein is an extremely rare condition; therefore, diagnosis, treatments, surgical approaches and long-term prognosis are not well defined. We report the case of a 67-year-old man with femoral vein adventitial cystic disease complicated with deep vein thrombosis. He presented with right leg oedema. Ultrasound, computed tomography and magnetic resonance imaging revealed a mass in the femoral vein, and deep vein thrombosis was not detected at the time. However, venous return disorder worsened due to the mass causing a deep vein thrombosis in the femoral vein, and anticoagulation therapy with edoxaban was administered. Subsequently, deep vein thrombosis in the femoral vein disappeared, but remained in the lower calf. The mass and femoral vein were completely resected and reconstructed with an expanded polytetrafluoroethylene graft. No recurrence was observed over 3 years and 3 months.

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TCTAP C-223 Catheter-directed Thrombolysis, Iliac and Common Femoral Vein Stenting in May-thurner Syndrome with Refractory Deep Vein Thrombosis

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2016.03.438 ◽

2016 ◽

Vol 67 (16) ◽

pp. S373-S374

Author(s):

Chiung-Ray Lu ◽

Ke Wei Chen

Keyword(s):

Deep Vein Thrombosis ◽

Femoral Vein ◽

Common Femoral Vein ◽

Vein Thrombosis ◽

Catheter Directed Thrombolysis ◽

Deep Vein

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Incidental Finding of Adventitial Cystic Disease of the Common Femoral Vein: Case Report and Review of the Literature

Journal for Vascular Ultrasound ◽

10.1177/154431671604000204 ◽

2016 ◽

Vol 40 (2) ◽

pp. 83-86

Author(s):

Jacob S. Schaeffer ◽

Clark A. Davis ◽

Irina Shakhnovich

Keyword(s):

Case Report ◽

Incidental Finding ◽

Femoral Vein ◽

Cystic Disease ◽

Review Of The Literature ◽

Common Femoral Vein ◽

Adventitial Cystic Disease ◽

The Common

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IP273. Adventitial Cystic Disease of the Common Femoral Vein∗

Journal of Vascular Surgery ◽

10.1016/j.jvs.2018.03.221 ◽

2018 ◽

Vol 67 (6) ◽

pp. e159

Author(s):

Bryce French ◽

Swee Lian Tan ◽

Emily Kobayashi

Keyword(s):

Femoral Vein ◽

Cystic Disease ◽

Common Femoral Vein ◽

Adventitial Cystic Disease ◽

The Common

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Incidence of deep vein thrombosis in patients undergoing breast reconstruction with autologous tissue transfer

Phlebology The Journal of Venous Disease ◽

10.1177/0268355516680427 ◽

2016 ◽

Vol 32 (4) ◽

pp. 282-288 ◽

Cited By ~ 3

Author(s):

Hisato Konoeda ◽

Takashi Yamaki ◽

Atsumori Hamahata ◽

Masakazu Ochi ◽

Atsuyoshi Osada ◽

...

Keyword(s):

Risk Factors ◽

Deep Vein Thrombosis ◽

Breast Reconstruction ◽

Femoral Vein ◽

Pedicled Flap ◽

Autologous Tissue ◽

Vein Thrombosis ◽

Tissue Transfer ◽

The Common ◽

Deep Vein

Background Breast reconstruction is associated with multiple risk factors for venous thromboembolism. However, the incidence of deep vein thrombosis in patients undergoing breast reconstruction is uncertain. Objective The aim of this study was to prospectively evaluate the incidence of deep vein thrombosis in patients undergoing breast reconstruction using autologous tissue transfer and to identify potential risk factors for deep vein thrombosis. Methods Thirty-five patients undergoing breast reconstruction were enrolled. We measured patients’ preoperative characteristics including age, body mass index (kg/m2), and risk factors for deep vein thrombosis. The preoperative diameter of each venous segment in the deep veins was measured using duplex ultrasound. All patients received intermittent pneumatic pump and elastic compression stockings for postoperative thromboprophylaxis. Results Among the 35 patients evaluated, 11 (31.4%) were found to have deep vein thrombosis postoperatively, and one patient was found to have pulmonary embolism postoperatively. All instances of deep vein thrombosis developed in the calf and were asymptomatic. Ten of 11 patients underwent free flap transfer, and the remaining one patient received a latissimus dorsi pedicled flap. Deep vein thrombosis incidence did not significantly differ between patients with a free flap or pedicled flap (P = 0.13). Documented risk factors for deep vein thrombosis demonstrated no significant differences between patients with and without deep vein thrombosis. The diameter of the common femoral vein was significantly larger in patients who developed postoperative deep vein thrombosis than in those who did not ( P < 0.05). Conclusions The morbidity of deep vein thrombosis in patients who underwent breast reconstruction using autologous tissue transfer was relatively high. Since only the diameter of the common femoral vein was predictive of developing postoperative deep vein thrombosis, postoperative pharmacological thromboprophylaxis should be considered for all patients undergoing breast reconstruction regardless of operative procedure.

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