| An unexpectedly high rate of pulmonary embolism in patients with superficial thrombophlebitis of the thigh. | |
| | |
MedLine Citation:
|
PMID: 10587397 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: The rate of objectively proven pulmonary embolism in patients with thrombophlebitis of the greater saphenous vein was studied. METHODS: Consecutive ambulant patients with thrombophlebitis of the greater saphenous vein, involving the above-knee segment, underwent a complete venous echo color Doppler examination of the lower limbs, perfusion lung scanning, and chest radiography. A high probability of pulmonary embolism was defined as the presence of two or more large segmental defects, one large and two or more moderate perfusion defects, or four or more moderate perfusion defects, with no corresponding abnormality found by means of chest radiography. RESULTS: Of the 21 patients included in the study, findings compatible with a high probability of pulmonary embolism were detected in seven patients (33.3%; 95% CI, 14.6 to 57. 0), although clinical symptoms of pulmonary embolism were present only in one patient. No association was found between the presence of thrombosis at the saphenofemoral junction and the risk for pulmonary embolism. CONCLUSION: The rate of pulmonary embolism in patients with thrombophlebitis of the greater saphenous vein is unexpectedly high. This risk is similarly high in patients with thrombosis at the saphenofemoral junction and in patients without thrombosis at the saphenofemoral junction. Our results are consistent with those of other recent investigations and suggest that superficial thrombophlebitis of the thigh is not as benign a disease entity as previously described. |
| | |
Authors:
|
F Verlato; P Zucchetta; P Prandoni; G Camporese; M C Marzola; G Salmistraro; F Bui; R Martini; F Rosso; G M Andreozzi |
Related Documents
:
|
11775257 - Pulmonary embolism associated with nephrotic syndrome in children: a preliminary report... 12945917 - Increased prevalence of coronary artery calcification in patients with suspected pulmon... 1921237 - Fibrin degradation product d-dimer in the diagnosis of pulmonary embolism. 7572597 - Angioscopic detection of residual pulmonary thrombi in the differential diagnosis of pu... 18334077 - Successful reversal of threatening carotid artery occlusion in hiv-associated non-aneur... 12145037 - Pulmonary artery rupture after attempted removal of a pulmonary artery catheter. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of vascular surgery Volume: 30 ISSN: 0741-5214 ISO Abbreviation: J. Vasc. Surg. Publication Date: 1999 Dec |
Date Detail:
|
Created Date: 1999-12-30 Completed Date: 1999-12-30 Revised Date: 2012-10-03 |
Medline Journal Info:
|
Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1113-5 Citation Subset: IM |
Affiliation:
|
Unit Care of Angiology, University Hospital of Padua, Padova, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Diagnostic Imaging Female Humans Male Middle Aged Prevalence Pulmonary Embolism / diagnosis*, epidemiology Risk Saphenous Vein* Thigh / blood supply Thrombosis / diagnosis*, epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive di...
Next Document: Mandibular subluxation for distal internal carotid exposure: technical considerations.