A 16-Year Haemodynamic Follow-up of Women with Pregnancy-related Medically Treated Iliofemoral Deep Venous Thrombosis
| Autor: | A Norén, K Lillthors, Stefan Rosfors, S. Törngren, R. Hjertberg, L. M. Persson |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
medicine.medical_specialty Pregnancy Complications Cardiovascular Physical examination Asymptomatic Post-thrombotic syndrome Pregnancy Risk Factors medicine Humans Plethysmograph Registries Ultrasonography Doppler Color Ultrasonography Retrospective Studies Venous Thrombosis Medicine(all) Analysis of Variance Chi-Square Distribution medicine.diagnostic_test business.industry Hemodynamics Retrospective cohort study Puerperal Disorders medicine.disease Surgery Plethysmography Venous thrombosis Treatment Outcome Deep venous thrombosis Strain-gauge plethysmography Disease Progression Linear Models Female Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Chi-squared distribution Follow-Up Studies |
| Zdroj: | European Journal of Vascular and Endovascular Surgery. 22(5):448-455 |
| ISSN: | 1078-5884 |
| DOI: | 10.1053/ejvs.2001.1499 |
| Popis: | Objectives to evaluate clinical and functional long-term outcomes following pregnancy-related medically treated iliofemoral deep venous thrombosis (DVT). Design retrospective follow-up of patients identified through a registry search. Material and methods twenty-five women underwent clinical examination, colour duplex ultrasound and computerised strain-gauge plethysmography on two occasions a mean of nine and 16 years after DVT. Results 40% of the patients were completely asymptomatic and 52% had no clinical signs of venous disease after a mean follow-up of 16 years. The clinical signs were in general mild, and none of the 25 patients had skin changes or ulcers. Deep venous reflux was found in 36% of the patients; the same percentage at nine- and 16-years follow-up, and 24% had normal ultrasonographic appearance of all deep veins. None of the patients had plethysmographic evidence of outflow obstruction. There was a significant relationship between measures of venous reflux and the presence of leg swelling, but there was no clear relation between functional abnormalities and the extent of the initial DVT. Conclusion even after 16 years there are relatively mild symptoms and signs of venous disease in women with medically treated pregnancy-related iliofemoral DVT. Our results do not support earlier stated opinions that these patients represent a particular risk group for developing post-thrombotic syndrome. |
| Databáze: | OpenAIRE |
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