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2016, Number 2

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Revista Cubana de Angiología y Cirugía Vascular 2016; 17 (2)

Clinical and ultrasonographic progression of posthrombotic syndrome in its first year

Almora RA, Quiñones CJM, Pantaleón BOS

Language: Spanish
References: 16
Page: 121-129
PDF size: 228.08 Kb.


ABSTRACT

Introduction: Chronic venous insufficiency is the main characteristic of the posthrombotic syndrome where the vein stasis is typical.
Objective: to describe the clinical and ultrasonographic progression of the post-thrombotic syndrome in its first year.
Methods: A descriptive prospective study was conducted in 20 men (55.6%) and 16 women (44.4%), with average age of 55.8 ± 14.2 years (IC95%: 41.6–70 years) diagnosed as deep venous thrombosis of the lower limb patients and hospitalized in the phlebolymphology service of the National Institute of Angiology and Vascular Surgery. The studied variables were types of clinical symptoms, type of ultrasonographic progression using Echodoppler device, clinical stagings of the posthrombotic syndrome, and time and percentage of re-canalization.
Results: After six months of progression, severe symptoms predominated (47.2%); and in the femoral-popliteal area the classification was good. After a year, the moderate classification was more frequent (52.8%) and extremely good in the popliteal sector; the pretibial edema was the predominant sign (50%). In the occluded popliteal-femoral sector, the percentage of average re-canalization increased after a year, being higher (p ‹ 0.05) than that of six months. A significant association was found between the percentage of re-channeling and the period of progression (χ2= 41.41; p= 0.0000); and between the clinical staging and the percentage of re-canalization (χ2= 32.95, p= 0.0000).
Conclusions: During the first year of existence of the posthrombotic syndrome, clinical changes and favorable progression may occur in the re-canalization of the deep venous system.


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