Concomitant thrombosis in patients with cellulitis as incidental finding

Gawaz, Andrea; Gonser, Lena; Strölin, Anke; Kofler, Lukas; Häfner, Hans‐Martin; Kofler, Katrin

doi:10.3233/ch-221519

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…The risk of concomitant venous thrombosis in patients with lower extremity (LE) cellulitis was found to be up to 15 % in previous studies [11,12,13]. In orbital phlegmonous infection, septic cavernosus thrombosis is a rare, but feared complication [14].…”

Section: Introductionmentioning

confidence: 99%

Concomitant Venous Thrombosis in Cellulitis of the Upper Extremity

Gawaz,

Gonser,

Walter

et al. 2023

Phlebologie

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Objectives Concurrent thrombosis is observed in up to 15 % of the patients with cellulitis of the lower extremity. The risk of concomitant venous thrombosis in patients with upper extremity cellulitis has not been investigated, yet. Aim of this study is to examine the frequency of concomitant venous thrombosis in patients with cellulitis of the upper extremity and to identify risk factors, comorbidities, and complications. Materials and Methods From 2014 to 2021, patients with cellulitis of the arm that received duplexsonography of the same limb were included. Files were reviewed for demographic data, comorbidities, and risk factors. Results 53 patients with upper limb cellulitis were included. In 11.3 % of the patients (n = 6), concomitant venous thrombosis of the upper extremity was detected. Three patients had deep arm thrombosis (brachial and subclavian veins), three had superficial vein thrombosis. Conclusion Cellulitis may increase the risk for venous thrombosis. Venous catheters and chronic lymphedema favor the occurrence of both cellulitis and venous thrombosis. Oncological patients are at particular risk for developing concomitant venous thrombosis.

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Section: Introductionmentioning

confidence: 99%

Concomitant Venous Thrombosis in Cellulitis of the Upper Extremity

Gawaz,

Gonser,

Walter

et al. 2023

Phlebologie

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First assessment of flow phenomena of acute and chronic thrombosis in the jugular veins using new ultrasound vector-flow imaging

Luderer,

Jung,

Brandenstein

et al. 2024

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AIM: First assessment of flow changes in the jugular veins using high resolution ultrasound vector flow. MATERIAL UND METHODS: 15 patients (8 males, 7 females) with an age range of 35 to 82 years (mean age 58.53±12.26 years) were examined by an experienced examiner using high power ultrasound equipment (Resona R9, Mindray) with probe technology (Mindray L9-3U Linear Array transducer, 2.5 to 9.0 MHz). This group was compared with five healthy subjects (mean age 35.4±13.79 years) as a reference. To assess flow changes, the color-coded duplex sonography and the novel vector flow technique were used. The evaluation was performed of vector morphology changes, turbulence, and wall resistance measurements. RESULTS: There were changes after acute and chronic thrombosis in 9 cases, and venous compression in 7 cases. Turbulence was measurable from 0.01 % to 64.44 %, the average turbulence was 19.73±22.06 % . Wall resistance measurement showed values from 0.01 Pa to 3.14 Pa, depending on the age of the thrombosis or compression. The reference veins showed turbulence of 0.94±1.5 % and a mean wall resistance of 0.05±0.05 Pa. There are statistically significant differences between normal and thrombotic or compressed veins in terms of maximum wall stress (p = 0.006) and mean degree of turbulence (p = 0.012), while the difference in mean wall stress is not statistically significant (p = 0.058). CONCLUSION: Despite still existing technical limitations, the combination of V-flow and wall stress measurements in jugular vein changes suggests a high diagnostic potential.

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Concomitant thrombosis in patients with cellulitis as incidental finding

Cited by 2 publications

References 31 publications

Concomitant Venous Thrombosis in Cellulitis of the Upper Extremity

Concomitant Venous Thrombosis in Cellulitis of the Upper Extremity

First assessment of flow phenomena of acute and chronic thrombosis in the jugular veins using new ultrasound vector-flow imaging

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