دورية أكاديمية
Isolated calf deep venous thrombosis: frequency on venous ultrasound and clinical characteristics
| العنوان: | Isolated calf deep venous thrombosis: frequency on venous ultrasound and clinical characteristics |
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| المؤلفون: | Heller, Thomas, Becher, Mattes, Kröger, Jens-Christian, Beller, Ebba, Heller, Susanne, Höft, Raimund, Weber, Marc-André, Meinel, Felix G. |
| المصدر: | http://lobid.org/resources/99370673696106441Test#!, 21(1):126. |
| سنة النشر: | 2021 |
| المجموعة: | Publisso (ZB MED-Publikationsportal Lebenswissenschaften) |
| مصطلحات موضوعية: | Female [MeSH], Aged [MeSH], Ultrasonography [MeSH], Humans [MeSH], Retrospective Studies [MeSH], Leg/diagnostic imaging [MeSH], Compression ultrasound, Duplex ultrasound, Acute Disease [MeSH], Male [MeSH], Venous Thrombosis/diagnostic imaging [MeSH], General emergency medicine, Deep venous thrombosis, Research Article |
| الوصف: | Background!#!It remains controversial whether to include calf veins in the initial ultrasound evaluation of suspected deep venous thrombosis (DVT). We sought to investigate the frequency and clinical characteristics of isolated calf DVT.!##!Materials and methods!#!In this retrospective analysis, we investigated a cohort of 596 patients (median age 69 years, 52.3% women) who had been imaged with complete lower extremity venous duplex ultrasound for suspected acute DVT. Radiology reports were analyzed for the presence and localization of DVT. Clinical information was collected from patients' electronic charts.!##!Results!#!DVT was found in 157 patients (26.3%), of which 74 patients (47.1%) had isolated calf DVT. Isolated calf DVTs were located in the posterior tibial veins (22 patients, 29.7%), peroneal veins (41 patients, 55.4%) and muscle veins (19 patients, 25.7%). There were no differences in age or sex between patients with isolated calf DVT and patients with proximal DVT. Isolated calf DVT was more commonly associated with leg pain (52.7% vs. 33.7%, p = 0.0234) and less commonly associated with subjective leg swelling (35.1% vs. 55.4%, p = 0.0158) and objectively measured difference in leg circumference (23% vs. 39.8%, p = 0.0268). D-Dimers were significantly lower in patients with isolated lower leg DVT (median 2.3 vs. 6.8 mg/L, p < 0.0001) compared to patients with proximal DVT.!##!Conclusions!#!Isolated calf DVT represents approximately half of DVT cases and has different clinical characteristics than proximal DVT. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://repository.publisso.de/resource/frl:6465231Test; https://doi.org/10.1186/s12873-021-00516-1Test; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8557054Test/ |
| DOI: | 10.1186/s12873-021-00516-1 |
| الإتاحة: | https://doi.org/10.1186/s12873-021-00516-1Test https://repository.publisso.de/resource/frl:6465231Test https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8557054Test/ |
| حقوق: | https://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: | edsbas.5CF15748 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s12873-021-00516-1 |
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