| The origin of lower extremity deep vein thrombi in acute venous thrombosis. | |
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MedLine Citation:
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PMID: 9207159 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: It has been taught that most deep venous thromboses (DVT) begin in the deep veins of the calf and propagate proximally. The duplex ultrasound scan, with its noninvasive characteristics and accuracy, has brought this premise into question. The purpose of this study was to determine the pattern and distribution of acute DVT as well as the different types of thrombi. METHODS: We performed a retrospective review of all duplex scans ordered for a diagnosis of acute lower extremite DVT at a 200-bed hospital over a 5-year period. RESULTS: There were 3,585 examinations performed on 2,654 patients. There were 461 patients (17.4%) with a venous thrombosis. Four types of venous thrombosis were identified: an isolated thrombosis in one venous segment (34%), a thrombosis extending over two or more contiguous segments (52%), multiple thromboses in noncontiguous segments (8%), and bilateral thrombi in different locations (6%). CONCLUSION: Calf vein thrombi represented 24% of all DVT. Thrombi in the major veins of the thigh and popliteal space without calf involvement were present in 49% of all DVT. The data in this paper indicate that most significant deep venous thromboses do not begin in the calf but instead arise in the proximal thigh or groin. |
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Authors:
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S L Hill; G I Holtzman; D Martin; P Evans; W Toler; K Goad |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 173 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1997 Jun |
Date Detail:
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Created Date: 1997-07-18 Completed Date: 1997-07-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 485-90 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Community Hospital of Roanoke Valley, Virginia, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aged Female Groin / blood supply Humans Leg / blood supply*, ultrasonography Male Middle Aged Retrospective Studies Thigh / blood supply Thrombophlebitis / ultrasonography* Ultrasonography, Doppler, Duplex |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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