Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 2000 June;41(3) > The Journal of Cardiovascular Surgery 2000 June;41(3):441-6

CURRENT ISSUE
 

JOURNAL TOOLS

Publishing options
eTOC
To subscribe PROMO
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions
Share

 

ORIGINAL ARTICLES  VASCULAR PAPERS 

The Journal of Cardiovascular Surgery 2000 June;41(3):441-6

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

The occurrence of the post-thrombotic changes after an acute deep venous thrombosis. A prospective two-year follow-up study

Saarinen J., Kallio T., Lehto M., Hiltunen S., Sisto T.

From the Department of Surgery *Department of Radiology Tampere University Hospital, Tampere, Finland


PDF


Background. The aim of the ­study is to inves­ti­gate the devel­op­ment of sub­jec­tive and objec­tive find­ings dur­ing the ­first two ­years ­after DVT (­deep ­venous throm­bo­sis).
Methods. This pros­pec­tive two-­year fol­low-up ­study was estab­lished in Tampere University Hospital in Finland. Twenty-six ­patients ­with a two-­year fol­low-up ­after a phleb­o­graph­i­cal­ly con­firmed DVT ­were fol­lowed. Patients ­were treat­ed con­ven­tion­al­ly ­with hep­ar­in and war­far­in. Phlebo-graphy was repeat­ed 7 ­months ­after DVT. Color-­flow ­duplex imag­ing (­CFDI) was per­formed in ­both ­legs 7 and 20 ­months ­after DVT. The sub­jec­tive symp­toms in ­both ­legs ­were record­ed at the begin­ning and at the end of the fol­low-up. The devel­op­ment of ­venous ­reflux, obstruc­tion and sub­jec­tive symp­toms ­after DVT ­were stud­ied.
Results. 50% of the ­legs ­with DVT had a path­o­log­i­cal (deep ­reflux or obstruc­tive ­change) ­CFDI-find­ing in the pop­li­teal seg­ment ­after a 20-­month fol­low-up. The path­o­log­i­cal find­ings in the con­trol ­legs ­were ­rare. The ­rate of rec­a­nal­isa­tion was ­high. There was no dif­fer­ence ­between ­calf and ­more prox­i­mal DVTs. Pain (62%), oede­ma (46%) and pig­men­ta­tion (35%) ­were com­mon and ­only 27% of the ­legs ­with DVT ­were asymp­to­mat­ic.
Conclusions. The devel­op­ment of the post-­throm­bot­ic syn­drome ­begins ­quite ear­ly. The fre­quen­cy of the sub­jec­tive symp­toms is ­high. Calf DVT may ­lead to post­throm­bot­ic seque­lae in the pop­li­teal seg­ment.

top of page