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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 1998 September;17(3):151-4

language: English

Symptomatic deep ­venous throm­bo­sis of the lower limb

Giannoukas A. D., Fatouros M., Batsis H., Mitsis M., Matsagas M., Koulouras V., Tsampoulas C. *, Kappas M., Cassioumis A.

From the Departments of Surgery and * Radiology, School of Medicine, University of Ioannina, Greece


Background. Deep vein throm­bo­sis (DVT) is a com­mon prob­lem in clin­i­cal prac­tice caus­ing ­severe com­pli­ca­tions. In this ret­ro­spec­tive study, the dis­tri­bu­tion and ­extent of DVT in the lower limb in symp­to­mat­ic ­patients were eval­u­at­ed. Certain risk fac­tors were also inves­ti­gat­ed.
Methods. The veno­grams of 187 symp­to­mat­ic indi­vid­u­als (post­op­er­a­tive, med­i­cal, and out-­patient) with sus­pect­ed DVT and symp­toms hav­ing been ­present for less than 6 days, were ­reviewed. Seventy-seven limbs of 76 ­patients had DVT. Twenty-seven were male (age range 14-82 years, mean 57) and 49 ­female (age range 12-82, mean 56).
Results. Age over 40 years and gen­der (­female) were sig­nif­i­cant pre­dis­pos­ing fac­tors, (Z=4.23, p<0.001 and Z=2.19, p<0.05 respec­tive­ly). Isolated calf DVT alone was the most com­mon pat­tern (46%, 36 of 77 limbs), and no dif­fer­ence was seen ­between post­op­er­a­tive and med­i­cal ­patients (χ2-test, p=0.7). Postoperative DVT was found in 29 (38%) limbs. Prophylaxis with LMWH had been given in only 15 of them (52%). No dif­fer­ence was seen in the dis­tri­bu­tion and ­extent of throm­bo­sis in rela­tion to the pro­phy­lax­is with LMWH (χ2-test, p=0.34).
Conclusions. Identification of the pre­dis­pos­ing fac­tors may ­enable us to dis­tin­guish ­patients at high risk of devel­op­ing DVT. The major­ity of the throm­bi com­menced in the calf veins and thus metic­u­lous inves­ti­ga­tion of these veins in symp­to­mat­ic ­patients with sus­pect­ed DVT is nec­es­sary.

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