Characterization of profunda femoris vein thrombosis

Repella, Tana L.; Lopez, Olga; Abraham, Cherrie Z.; Azarbal, Amir F.; Liem, Timothy K.; Mitchell, Erica L.; Landry, Gregory J.; Moneta, Gregory L.; Jung, Enjae

doi:10.1016/j.jvsv.2018.01.012

Cited by 4 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a recent study by Repella et al, 9 examinations were divided into two groups based on involvement of the DFV, i.e., proximal DVT with DFV involvement vs. proximal DVT without DFV involvement. Overall, it was concluded from this study that proximal DVT with DFV involvement was associated with a higher thrombus burden, more frequent DVT in the external iliac and femoropopliteal veins, and a higher likelihood of having a hypercoagulable disorder.…”

Section: Discussionmentioning

confidence: 99%

“…However, in that study, the authors did not define whether thrombus was occlusive or partial, and included patients both with acute DVTs and with chronic post-thrombotic changes. 9 The DFV is an important component of the drainage of the lower limb, and patency of this vein should be reported as it can influence the clinical outcome and possibly also decision making regarding treatment (thrombolysis/ thrombectomy). When there is thrombus in the DFV, as well as in the iliac veins, thrombolysis/thrombectomy might be preferred.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Significance of Partial or Complete Thrombosis of the Common and Deep Femoral Vein in Patients With Deep Vein Thrombosis

Broholm

Bækgaard

Hansen

et al. 2019

European Journal of Vascular and Endovascular Surgery

View full text Add to dashboard Cite

WHAT THIS PAPER ADDS This study suggests the importance of a thorough ultrasound examination when examining patients suspected of having deep vein thrombosis (DVT), including examination of the deep femoral vein. DVT only reaching the inguinal ligament probably has partial thrombus in the common femoral vein due to inflow from the deep femoral vein. An occlusive thrombus in the deep femoral vein should raise the suspicion of thrombus in the iliac veins. Objective: The aim was to assess the anatomical distribution of acute deep venous thrombosis (DVT) with a focus on iliofemoral DVT, and, in particular, to characterise thrombus in the common femoral vein (CFV) and the deep femoral vein (DFV). Methods: A one year prospective study including patients older than 18 years of age with an acute first time DVT according to ultrasound examination at one of three university hospitals in Copenhagen, Denmark. Thrombus location and extent were registered and divided into five segments: calf veins; popliteal vein; femoral and deep femoral vein; common femoral vein; and iliac veins and/or the inferior vena cava. Thrombus appearance of the CFV and the DFV (partial or occlusive) was examined in detail. Results: Acute DVTs were identified in 203 extremities in 200 patients (58% male). The median age of the patients was 68 years (range 19e92 years), and left-sided DVT was observed in 56%. Iliofemoral DVT was present in 54 (27.0%) patients. Thrombus involving the CFV but not the iliac veins (CFV group) was seen in 28 patients; the remaining 26 had involvement of the iliac veins (iliac group). Thrombus in the CFV was more likely to be occlusive in the iliac group than in the CFV group (77% vs. 4%; p < .001). Thrombus in the DFV was more often occlusive in the iliac group than in the CFV group (81% vs. 11%; p < .001). The DFV was free of thrombus in 12% of patients in the iliac group and in 64% of those in the CFV group. Conclusion: The presence of occlusive thrombus in the CFV and/or in the DFV pointed to a DVT also involving the ipsilateral iliac veins. Thrombosis of the deep leg veins extending into the CFV below the inguinal ligament was more likely to be partial in the CFV, mainly due to inflow from the DFV.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Significance of Partial or Complete Thrombosis of the Common and Deep Femoral Vein in Patients With Deep Vein Thrombosis

Broholm

Bækgaard

Hansen

et al. 2019

European Journal of Vascular and Endovascular Surgery

View full text Add to dashboard Cite

show abstract

“…CDT lowers the risk of PTS by reducing clot burden and protecting against valvular damage [8]. To date, DVT incidence and risk factors have been poorly characterized [9]. Nevertheless, proximal DVT, including thrombus in the femoral vein, can usually be diagnosed and treated during initial treatment in the hospital Emergency Department (ED) [3].…”

Section: Introductionmentioning

confidence: 99%

ICBA Treatment of Chronic Un-healing Lesion in a Femoral DVT Patient-A Hypothesis of the Mechanism of Action

Kotlyar¹

2019

NRS

View full text Add to dashboard Cite

Introduction: DVT is a major, preventable cause of death worldwide. Ultrasound (US) is universally accepted as the first-line imaging procedure for DVT diagnosis.Case presentation: Three years ago, a 59-years-old patient detected a painless lesion above the right lateral malleolus. After starting to feel strong, right femoral pain, the patient sought treatment at a community health medical organization (HMO) and was urgently referred to a hospitalization. During a 5-day hospitalization, the patient was diagnosed to suffer from right femoral DVT, according to the venous Doppler US results. The patient was treated with clot-dissolving drugs. Upon discharge from the hospital, the patient was instructed to continue a clot-dissolving drug and to followed-up in an HMO. The patient was instructed to wear an elastic compression stocking on his right leg, and prescribed analgesic and oral antibiotics and. Non-healing of lesion and pain continued for about three years after initial treatment. Since the lesion failed to heal and the pain did not dissipate, the patient decided to attempt acupuncture treatment. Methods:The patient was treated with 12 sessions I Ching Balance Acupuncture (ICBA) and followed up for the next six months.Results: Lesion healing setup began during the 1st ICBA session. Following the 3 rd session, the patient stopped consuming the analgesic. Complete lesion healing occurred after 12 ICBA sessions and persisted throughout the follow-up period. Conclusion:ICBA treatment successfully affected the setup of the healing process of an unhealing lesion.Additional large-scale studies are necessary to validate the efficacy of ICBA in thrombosis.

show abstract

Thrombectomy of the Profunda Femoral Vein in Iliofemoral Deep Venous Thrombosis Using an Antegrade Popliteal Approach

Qamhawi,

Kearns,

Wilton

et al. 2024

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

Characterization of profunda femoris vein thrombosis

Cited by 4 publications

References 9 publications

Significance of Partial or Complete Thrombosis of the Common and Deep Femoral Vein in Patients With Deep Vein Thrombosis

Significance of Partial or Complete Thrombosis of the Common and Deep Femoral Vein in Patients With Deep Vein Thrombosis

ICBA Treatment of Chronic Un-healing Lesion in a Femoral DVT Patient-A Hypothesis of the Mechanism of Action

Thrombectomy of the Profunda Femoral Vein in Iliofemoral Deep Venous Thrombosis Using an Antegrade Popliteal Approach

Contact Info

Product

Resources

About