Plantar vein thrombosis: 17-year longitudinal study of consecutive patients from a Swiss academic center

Serifi, Margarita; Kaufmann, Philippe A.; Fumagalli, Riccardo M.; Kobe, Adrian; Kucher, Nils; Barco, Stefano

doi:10.1016/j.rpth.2024.102396

Cited by 1 publication

(1 citation statement)

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“…The treatment for PVT lacks standardization [ 13 ]. The options include NSAIDs alone or anticoagulation with compression stockings.…”

Section: Introductionmentioning

confidence: 99%

Magnetic Resonance Imaging Features of Plantar Vein Thrombosis

Miranda,

Castro,

Obrigon

et al. 2024

Diagnostics

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Plantar vein thrombosis (PVT) is an underdiagnosed condition affecting the deep plantar veins, with challenging clinical diagnosis, often presenting with non-specific symptoms that mimic other foot pathologies. This study assessed the magnetic resonance imaging (MRI) features of patients diagnosed with PVT to contribute to the understanding of this condition. We performed the comprehensive analysis of a substantial dataset, including 112 patients, with a total of 130 positive MRI scans (86 of the forefoot and 44 of the ankle) presenting with PVT. Upon evaluating all the veins of the feet, we observed a higher frequency of involvement of the lateral plantar veins (53.1%) when compared to the medial veins (3.8%). The most affected vascular segments in the forefeet were the plantar metatarsal veins (45.4%), the plantar venous arch (38.5%), and the plantar communicating veins (25.4%). The characteristic findings on MRI were perivascular edema (100%), muscular edema (86.2%), venous ectasia (100%), perivascular enhancement (100%), and intravenous filling defects (97.7%). Our study provides valuable insights into the imaging evaluation of PVT and shows that MRI is a reliable resource for such diagnosis.

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“…The treatment for PVT lacks standardization [ 13 ]. The options include NSAIDs alone or anticoagulation with compression stockings.…”

Section: Introductionmentioning

confidence: 99%