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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Frequency: Bi-Monthly

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2002 October;43(5):687-91

VASCULAR SECTION 

    ORIGINAL ARTICLES

Post-thrombotic symptoms after an isolated calf deep venous thrombosis

Saarinen J., Domonyi K., Zeitlin R., Salenius J.-P.

Depart­ment of Sur­gery Divi­sion of Vas­cular Sur­gery Tam­pere Uni­ver­sity Hos­pital Tam­pere, Fin­land and Med­ical ­School Uni­ver­sity of Tam­pere, Tam­pere, Fin­land

Back­ground. To ­study the out­come of an iso­lated ­calf ­deep ­venous throm­bosis (DVT).
­Methods. ­This ret­ro­spec­tive ­study ­with 62 ­patients was estab­lished in Tam­pere Uni­ver­sity Hos­pital in Fin­land. In all ­cases a ven­o­graph­i­cally con­firmed ­calf ­deep ­venous throm­bosis was ­detected 6-10 ­years ear­lier. Com­plete ­review of the ­patient ­records was con­ducted, and the ­initial phle­bo­grams ­were ­also ­reviewed. Symp­toms and ­signs of the ­post-throm­botic syn­drome in ­both ­legs ­were ­assessed by ­means of a ques­tion­naire. Fre­quency of the ­post-throm­botic symp­toms and ­signs in ­both ­legs ­were ­studied. ­Degree of sub­jec­tive symp­toms, ­need for ­visits to med­ical ­care cen­tres and the cur­rent use of com­pres­sion ­therapy in ­patients ­with pre­vious DVT ­were ­observed. In addi­tion, the inci­dence of objec­tively ver­i­fied recur­rences was ­recorded.
­Results. ­Pain (26%), ­edema (39%), and pig­men­ta­tion (26%) ­were fre­quent in ­legs ­with DVT. In con­tra­lat­eral ­legs the ­reported fre­quen­cies ­were 23%, 26% and 15% (p>0.05), respec­tively. In ­legs ­with DVT the ­rate of asymp­to­matic ­patients was 37%, 46% had vis­ited med­ical ­care cen­ters, and 25% ­were ­using com­pres­sion ­therapy cur­rently. Recur­rent DVT was ­observed in 13%. Eti­ology of DVT had no ­impact on fre­quency of recur­rent ­events.
Con­clu­sions. Leg symp­toms and recur­rent ­events are ­quite ­common ­after ­calf DVT. The cur­rent use of com­pres­sion ­therapy and ­visits to med­ical ­care cen­ters are fre­quently ­reported. By ­means of a ques­tion­naire ­study it is dif­fi­cult to ­exclude ­other rea­sons for leg symp­toms, and ­this ­should be ­noted in ­judging the ­results.

language: English


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