Incidence and location of deep vein thrombosis in the lower extremities: what do we know?

Niels BÆKGAARD, Vascular Clinic, Gentofte Hospital and Rigshospitalet, University of Copenhagen, Denmark Abstract In the last century, deep vein thrombosis (DVT) plus pulmonary embolism was one of the most frequent causes of death in hospitalized patients. However, the incidence of DVT alone has been difficult to calculate from the entity of venous thromboembolism because the incidence of DVT is provided as either DVT without pulmonary embolism or pulmonary embolism ± DVT, where the latter group does not provide the precise rate of DVT. Therefore, our epidemiological review will focus on the first group, with an emphasis on first-time DVT. In…

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Residual rates of reflux and obstruction and their correlation to post-thrombotic syndrome in a randomized study on catheter-directed thrombolysis for deep vein thrombosis.

Haig Y, Enden T, Slagsvold CE, Sandvik L, Sandset PM, Kløw NE. J Vasc Surg: Venous Lymphat Disord. 2014;2:123-130. Catheter-directed thrombolysis, venous abnormalities, and postthrombotic syndrome Despite appropriate anticoagulant therapy, at least 1 of every 2 to 3 patients with proximal deep vein thrombosis (DVT) of the lower extremities will develop (severe) postthrombotic sequelae (PTS). Among parameters that have been found to be associated with an increased risk of PTS are venous thrombosis of the common femoral or iliac vein, obesity, previous ipsilateral DVT, older age, and female sex.1,2 By contrast, the role played by the development of venous reflux…

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Management of superficial vein thrombosis of the lower limbs: update and current recommendations

Management of superficial vein thrombosis of the lower limbs: update and current recommendations Jean-Luc GILLET Vascular Medicine and Phlebology, Bourgoin-Jallieu, France Abstract Initially, superficial vein thrombosis (SVT) was considered a benign disease or a common complication of varicose veins. Recent studies have shown the potential severity of SVT and defined its place within the venous thromboembolic (VTE) diseases, along with deep vein thrombosis (DVT) and pulmonary embolism (PE). A concomitant DVT was identified in 25% to 30% of patients at presentation and a PE in 4% to 7% of patients. Subsequent VTE were reported in 3 to 20% of patients,…

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