Relationship between Specific Distributions of Isolated Soleal Vein Thrombosis and Risk Factors

Ohgi, Shigetsugu; Ohgi, Nagako

doi:10.3400/avd.oa.14-00077

Cited by 6 publications

(4 citation statements)

References 15 publications

(33 reference statements)

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“…Recently, Ohgi S and Ohgi N investigated the characteristics of the isolated soleal vein thrombosis and its risk factors in 93 patients with symptomatic DVT in the soleal veins. 11 ) They demonstrated that: (1) the frequency of acute DVT was higher in the central and medial soleal veins than in other veins, (2) the isolated DVT in the central and medial soleal veins may result from the larger diameters of these veins compared with the others, as a local risk factor, and (3) in unilateral DVT cases, the frequency of DVT in the central soleal vein was higher than that in the medial soleal vein, and VVs may be involved as local factors. Our results concerning the site of IDDVT in patients with VVs ( Table 2 ) are in line with these results.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Isolated Calf Deep Vein Thrombosis: Does It Worsen after Varicose Vein Surgery?

Horiguchi¹,

Ono²,

Shirato³

et al. 2017

Annals of Vascular Diseases

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In our varicose vein center, on a trial basis, among the patients with asymptomatic calf deep vein thrombosis (CDVT) we carefully selected the patients for varicose vein surgery using the requirements as follows; 1) the patients had varicose veins with incompetent saphenous veins, 2) sequential examination including DUS confirmed stability and clinical insignificance of asymptomatic CDVT, 3) the patients do not have any risk factors for DVT such as a coagulation profile disorder (antithrombin deficiency, protein C deficiency, protein S deficiency, or antiphospholipid syndrome) or malignancies, 4) surgery is possible under local anesthesia alone, and 5) the patients can understand the concept of asymptomatic CDVT and undergo the surgery on their own will and informed consent. The patients who fulfilled these conditions underwent the varicose vein surgery. Twenty-eight patients with 30 limbs with varicose veins had asymptomatic CDVT, found by preoperative duplex ultrasonography (DUS). Among CDVT, 91% of CDVT existed in the soleal veins. After the diagnosis of the asymptomatic CDVT, serial DUS was performed and showed no changes in the status of the thrombus. Then varicose vein surgery (high ligation of the saphenous junctions either with or without stripping of the saphenous veins) was performed. After the surgery, the CDVT was re-evaluated by DUS. In 27 limbs, CDVT did not show any changes in the status of the thrombus, and in 3 limbs the CDVT was partially resolved. These data suggest that, at least, as far as the patients fulfilled these conditions, varicose vein surgery did not worsen the asymptomatic CDVT. (This is a translation of Jpn J Phlebol 2016; 27: 405–412.)

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Section: Discussionmentioning

confidence: 99%

Asymptomatic Isolated Calf Deep Vein Thrombosis: Does It Worsen after Varicose Vein Surgery?

Horiguchi¹,

Ono²,

Shirato³

et al. 2017

Annals of Vascular Diseases

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“…26,27) It would be beneficial to evaluate the properties and analyze the characteristics of the thrombosis for predicting the risk of recurrence by US. 28) ACCP evidence-based clinical practice guideline recommended that additional other test was not performed when the thrombus was observed (regardless proximal or distal veins) or not by US. 29) Ultrasonography was performed in 87.7% and venography was performed in 2.8% of patients in a survey by Japanese Society of Phlebology in 2009.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of D-Dimer in Screening Deep Vein Thrombosis in Hospitalized Japanese Patients with Acute Medical Diseases/Episodes

Matsuo¹,

Nakajima

Ogawa

et al. 2016

Annals of Vascular Diseases

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Objective: To investigate the usefulness of D-dimer as a screening method as well as to explore potent predictors of deep vein thrombosis (DVT) in hospitalized Japanese patients with acute medical diseases/episodes. Methods and Subjects: This study was a multi-center, prospective, observational study. The inclusion criteria were hospitalized patients at high risk of developing venous thromboembolism with; (1) congestive heart failure, acute exacerbation of chronic obstructive pulmonary disease, infectious diseases, or inflammatory diseases, (2) bed rest ≥4 days, and (3) ≥60 years old. D-dimer was measured on the same day as ultrasonography. Multivariate logistic regression analysis was performed to investigate predictors associated with the presence of DVT. Results: Sixty-nine patients were enrolled. The prevalence of DVT was 33.3% (23/69; 95% C.I., 19.4% to 47.3%). D-dimer was measured in 42 patients and the sensitivity and negative predictive value reached 100%, while the specificity (13.3%) and positive predictive value (31.6%) were low (cut-off value: 0.9 or 1.0 µg/mL). Statistically significant predictor was not assigned.

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“…Ohgi and Ohgi [30] investigated the relationships between specific distributions of isolated thrombosis of the soleus vein sole thrombosis (SVT) and risk factors; in the vein classification, the soleus muscle was divided into six circulatory regions and intramuscular veins were divided into six groups-proximal, lateral, central, medial, distal medial, and distal lateral veins-based on the circulatory regions and deep veins communicated with intramuscular veins in these regions. Despite the similar approach, these authors did not, however, describe any morphometric data or the topography and distribution of the extramuscular soleus veins.…”

Section: Discussionmentioning

confidence: 99%

Anatomy of Extramuscular Soleus Veins: Clinical Impact

Aragão¹,

Reis²,

Aragão³

et al. 2017

Human Anatomy - Reviews and Medical Advances

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The venous system of the lower limbs has great structural and functional anatomical complexity which must be considered in different dysfunctions of this system. This complexity lies mainly in the venous return, which is changed from the upright position and ambulation and other factors such as level of physical activity, heart function, circulating blood volume, and ambient temperature. Anatomical description of soleus veins (SV) has received little attention from books' anatomy texts. These veins are intramuscular deep veins and known as the main chamber of the calf pump. Soleus veins have been implicated as the site for deep vein thrombosis (DVT). Detailed anatomical knowledge is required for early diagnosis using noninvasive ultrasound techniques. In the present work, we describe the anatomy of the veins that emerge from the ventral surface of the soleus muscle. Twenty-eight soleus muscles were dissected and 543 veins were found. The number of veins per leg ranged from 7 to 38. The distribution of these veins per quadrant ranged from 0 to 12. The greatest number of veins occurred in the upper lateral quadrant. Most of the soleus veins drained into the posterior tibial and fibular veins. The mean length of the soleus veins ranged from 0.907 to 2.804 cm. We conclude that there is a wide variability in the distribution of soleus veins through the soleus muscle and its quadrants. The majority of the soleus veins drain into the tibial and fibular veins.

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Relationship between Specific Distributions of Isolated Soleal Vein Thrombosis and Risk Factors

Cited by 6 publications

References 15 publications

Asymptomatic Isolated Calf Deep Vein Thrombosis: Does It Worsen after Varicose Vein Surgery?

Asymptomatic Isolated Calf Deep Vein Thrombosis: Does It Worsen after Varicose Vein Surgery?

Evaluation of D-Dimer in Screening Deep Vein Thrombosis in Hospitalized Japanese Patients with Acute Medical Diseases/Episodes

Anatomy of Extramuscular Soleus Veins: Clinical Impact

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