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

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

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


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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.

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