| Lower extremity calf thrombosis: to treat or not to treat? | |
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MedLine Citation:
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PMID: 1942369 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Seventy-five patients with isolated calf vein thrombi were prospectively monitored with sequential duplex scans at 3- to 4-day intervals. Twenty-four patients (32%) propagated and 11 of these 24 (46%) into the popliteal or larger veins of the thigh. Sex, age, obesity, trauma, estrogen use, malignancy, varicose veins, smoking, surgery, and activity level were not predictive for proximal propagation. Proximal soleal vein thrombi had the highest incidence in both propagating and non-propagating groups. Thrombus extent and bilateral involvement were not predictive of propagation. Five percent (4 of 75 patients) had highly probable ventilation perfusion scans as their initial indication for duplex scanning. Deep vein thrombosis isolated to the calf is not a benign problem. If anticoagulant therapy is contraindicated, the progress of the thrombus can be followed by duplex scanning. |
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Authors:
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J M Lohr; T M Kerr; K S Lutter; R D Cranley; K Spirtoff; J J Cranley |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of vascular surgery Volume: 14 ISSN: 0741-5214 ISO Abbreviation: J. Vasc. Surg. Publication Date: 1991 Nov |
Date Detail:
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Created Date: 1991-12-05 Completed Date: 1991-12-05 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 618-23 Citation Subset: IM |
Affiliation:
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John J. Cranley Vascular Laboratory, Good Samaritan Hospital, Cincinnati, OH 45220. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Humans Male Middle Aged Monitoring, Physiologic Predictive Value of Tests Prospective Studies Risk Factors Sensitivity and Specificity Thrombophlebitis / etiology, therapy*, ultrasonography |
| Comments/Corrections | |
Erratum In:
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J Vasc Surg 1992 Feb;15(2):323 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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