Accuracy of contralateral Villalta score to assess for pre‐existing chronic venous insufficiency in patients with unilateral deep vein thrombosis

Galanaud, Jean‐Philippe; Ducruet, Thiérry; Kahn, Susan R.

doi:10.1111/jth.15091

Cited by 3 publications

(4 citation statements)

References 26 publications

(65 reference statements)

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“…Therefore, the former approach is preferred for greater convenience. These findings are in keeping with additional work by Galanaud et al., [ 29 ] in which the contralateral VS was only mildly correlated to ipsilateral-VS, and the proportion of PTS attributable to CVI was modest and lower than previously reported [ 28 ].…”

Section: Discussionsupporting

confidence: 91%

Exploring the Villalta scale to capture postthrombotic syndrome using alternative approaches: A subanalysis of the ATTRACT trial

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Gu²,

Vedantham³

et al. 2023

Research and Practice in Thrombosis and Haemostasis

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Section: Discussionsupporting

confidence: 91%

Exploring the Villalta scale to capture postthrombotic syndrome using alternative approaches: A subanalysis of the ATTRACT trial

Pop

Gu²,

Vedantham³

et al. 2023

Research and Practice in Thrombosis and Haemostasis

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“…Villalta score was used to determine whether they had PTS. [21][22][23] All patients were followed for at least 3 months. When patients developed symptoms consistent with LEDVT during follow-up, CT scans were promptly provided to obtain the venography, and interventional therapy was performed as needed.…”

Section: Postoperative Follow-upmentioning

confidence: 99%

Comparison of AngioJet Thrombectomy System Versus Suction Catheter with the Adjunct of Catheter-Directed Thrombolysis for Lower Extremity Deep Venous Thrombosis

et al. 2023

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Background This study aims to investigate the value of the AngioJet thrombectomy system with adjunct of catheter-directed thrombolysis (CDT) in treating lower extremity deep venous thrombosis (LEDVT). Methods 48 patients who were clinically confirmed LEDVT and treated by percutaneous mechanical thrombectomy (PMT) combined with CDT, were included in this retrospective study (AJ-CDT, n = 33; Suction-CDT, n = 15). Baseline characteristics, clinical outcomes and surveillance data were reviewed and analyzed. Results The overall clot reduction rate of AJ-CDT group was significantly higher than that of Suction-CDT group (77.86% vs 64.47%, P = .027). The CDT therapeutic time (5.75 ± 3.04 vs 7.67 ± 2.82 days, P = .045) and urokinase dosage (3.63 ± 2.16 vs 5.76 ± 2.12 million IU, P = .003) were lower in AJ-CDT group, respectively. There was statistical significance in the transient hemoglobinuria between 2 groups (72.73% vs 6.67%, P < .001). At postoperative 48 hours, the serum creatinine (Scr) value was higher in AJ-CDT group compared to Suction-CDT group statistically (78.56 ± 32.16 vs 60.21 ± 15.72 μmol/l, P = .049). However, the incidence of acute kidney injury (AKI) and uric acid (UA) concentration at postoperative 48 hours between these 2 groups were no statistical difference. There was no statistical significance in the Villalta score and post-thrombosis syndrome (PTS) incidence during postoperative follow-up. Conclusions AngioJet thrombectomy system is more effective for the treatment of LEDVT by providing a higher clot reduction rate with shorter thrombolytic time and lower thrombolytic drug dosage. However, the device-related potential risk of renal function injury should be taken appropriate precautions.

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“…[3,8,11] Even after almost 20 years from VS' first publication, a number of studies worldwide are still discussing its validity and correlations with other tools and through different populations. [12][13][14] Previous studies set the VS, associated with a QoL specific for venous disease, as the gold-standard for diagnostic and prognostic evaluation of PTS. [8] However, there are currently no VS intra-rater agreement established, and no external validation studies for VS' application into Brazilian Portuguese.…”

Section: Introductionmentioning

confidence: 99%

“…The presence of more or equal than five (5) points is the cutline to diagnose PTS and graduates its severity between mild (5 to 9 points), moderate (10 to 14 points), or severe (14 to 33 points or venous ulcer) [3,8,11] . Even after almost 20 years from VS’ first publication, a number of studies worldwide are still discussing its validity and correlations with other tools and through different populations [12–14] …”

Section: Introductionmentioning

confidence: 99%

External validation of Villalta score in high-middle income country patients with deep vein thrombosis

et al. 2022

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Post-thrombotic syndrome (PTS) is a late complication that does not have a cure yet, with a prevalence estimated between 20 to 75%, associated with previous deep vein thrombosis event. Although the Villalta score (VS) is the gold-standard clinical tool for diagnostic and prognostic evaluation of PTS, there are currently no VS intra-rater agreement established and no validation studies for VS’ application into Brazilian Portuguese. We sought to translate and validate VS reliability systematically; and, secondarily, to compare the ultrasound findings with the severity of PTS.We systematically translated the original VS into Brazilian Portuguese (BP). Fifty participants who underwent two outpatient visits were evaluated using the translated VS. We assessed its intra-rater and inter-rater agreement and compared BP VS versus CEAP clinical component (CEAP C), and the clinical PTS severity versus the duplex ultrasound (DUS) findings. The study and its report followed the Guidelines for Reporting Reliability and Agreement Studies.The intra-rater evaluation of VS grades had a simple Kappa coefficient of 0.73, and the simple Kappa coefficient inter-rater for VS grades was 0.67. When VS was compared to CEAP C, it established a remarkably high correlation over 0.9. There was difference among VS values compared to DUS initial deep vein thrombosis territory, with femoropopliteal showing higher values than distal veins. Higher VS values were correlated to DUS venous recanalization and reflux.There was a substantial inter-rater and intra-rater agreement when the BP VS was applied; and when compared to CEAP C, VS showed a high correlation. When VS grading was compared to DUS characteristics, there were significant statistical and clinical correlation, with presence of reflux and recanalization showing higher VS values. This external VS validation also changes the clinical practice allowing the VS use in a different population and establishes the VS intra-rater agreement.

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Accuracy of contralateral Villalta score to assess for pre‐existing chronic venous insufficiency in patients with unilateral deep vein thrombosis

Cited by 3 publications

References 26 publications

Exploring the Villalta scale to capture postthrombotic syndrome using alternative approaches: A subanalysis of the ATTRACT trial

Exploring the Villalta scale to capture postthrombotic syndrome using alternative approaches: A subanalysis of the ATTRACT trial

Comparison of AngioJet Thrombectomy System Versus Suction Catheter with the Adjunct of Catheter-Directed Thrombolysis for Lower Extremity Deep Venous Thrombosis

External validation of Villalta score in high-middle income country patients with deep vein thrombosis

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