Regression of proximal deep venous thrombosis is associated with fibrinolytic enhancement

Killewich, Lois A.; Macko, Richard F.; Cox, Kim; Franklin, D; Benjamin, Marshall E.; Lilly, Michael; Flinn, William R.

doi:10.1016/s0741-5214(97)70101-0

Cited by 67 publications

(59 citation statements)

References 21 publications

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“…It was reported that recanalization occurred in 44% of patients by 7 days after the onset of DVT and in 100% by 90 days [13] or that recanalization was observed in 87% of patients within 6 weeks after complete venous occlusion by thrombosis [14]. In the present patient, ultrasonography demonstrated recanalization after 52 days owing to continuation of anticoagulation therapy despite gastrointestinal bleeding.…”

Section: Discussionsupporting

confidence: 45%

Gastrointestinal Bleeding During Anticoagulant Therapy for Deep Vein Thrombosis after Simultaneous Pancreas and Kidney Transplantation

Sannomiya¹,

Nakajima²,

Ogawa³

et al. 2017

J Clin Case Rep

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A 46-year-old Japanese woman on dialysis for type 1 diabetes and chronic renal failure underwent simultaneous pancreas and kidney transplantation from a brain-dead donor. On postoperative day 3, ilio-femoral deep vein thrombosis on the side of pancreatic transplantation was diagnosed from swelling of the right leg, an increased D-dimer level, and imaging findings. Anticoagulant therapy was initiated to prevent proximal propagation of the thrombosis and pulmonary thromboembolism. However, gastrointestinal bleeding occurred, which was thought to be due to mucosal bleeding from the duodenal graft. Her anticoagulant therapy was adjusted and hemostasis was conducted, controlling the gastrointestinal bleeding without surgical intervention. Blood flow was maintained to both grafts and graft function was good. When gastrointestinal bleeding occurs during anticoagulant therapy for deep vein thrombosis after combined pancreas and kidney transplantation, bleeding can be controlled by adjusting anticoagulant therapy and other appropriate measures.

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Section: Discussionsupporting

confidence: 45%

Gastrointestinal Bleeding During Anticoagulant Therapy for Deep Vein Thrombosis after Simultaneous Pancreas and Kidney Transplantation

Sannomiya¹,

Nakajima²,

Ogawa³

et al. 2017

J Clin Case Rep

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“…It appears to be primarily mediated by enhancement of the endogenous fibrinolytic system, and increased tissue plasminogen activator (tPA) activity is reported [12].…”

Section: Introductionmentioning

confidence: 99%

Does supervised exercise after deep venous thrombosis improve recanalization of occluded vein segments? A randomized study

Isma

Johanssson

Björk

et al. 2006

J Thromb Thrombolysis

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“…DVT not related to multiple sheath placement has been reported to be able to remodel, progress, or regress. 14,15) Therefore, we hypothesized that DVT after short-term multiple sheath placement in a single femoral vein may develop early remodeling with benign outcomes.…”

mentioning

confidence: 99%

Safety and Outcomes of Short-Term Multiple Femoral Venous Sheath Placement in Cardiac Electrophysiological Study and Radiofrequency Catheter Ablation

et al. 2004

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SUMMARYMultiple intracardiac catheters are often necessary for electrophysiological study (EPS) and radiofrequency (RF) ablation therapy. Therefore, multiple venous sheath placement in one femoral vein is always required for multiple intracardiac catheter insertion. The vascular complications incurred by placement of multiple sheaths have not been fully studied. We utilized duplex ultrasonography to assess the femoral veins before and after the procedure. This study consisted of 52 patients (68 femoral veins) who underwent EPS and RF ablation therapy. Up to three sheaths were inserted into a single femoral vein. Nonocclusive deep vein thrombosis (DVT) occurred in 12/68 veins (17.6%) of 11 patients on the day following the procedure. Thrombosis regressed spontaneously in 11 veins and persisted in 1 vein at 1-week follow-up. The venous diameter significantly decreased the day after the procedure (8.7 ± 1.2 mm vs 5.3 ± 1.5 mm, P < 0.001), but recovered by the 1-week follow-up (7.9 ± 1.7 mm, P = 0.07) in the 12 veins. Short-term placement of multiple venous sheaths in a single femoral vein appears to be safe. Nonetheless, nonocclusive DVT does occur in a significant number of patients. Although thrombosis regressed and the outcome appeared to be benign in most patients, close follow-up to avoid potential vascular complications is necessary. (Jpn Heart J 2004; 45: 257-264)

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Regression of proximal deep venous thrombosis is associated with fibrinolytic enhancement

Cited by 67 publications

References 21 publications

Gastrointestinal Bleeding During Anticoagulant Therapy for Deep Vein Thrombosis after Simultaneous Pancreas and Kidney Transplantation

Gastrointestinal Bleeding During Anticoagulant Therapy for Deep Vein Thrombosis after Simultaneous Pancreas and Kidney Transplantation

Does supervised exercise after deep venous thrombosis improve recanalization of occluded vein segments? A randomized study

Safety and Outcomes of Short-Term Multiple Femoral Venous Sheath Placement in Cardiac Electrophysiological Study and Radiofrequency Catheter Ablation

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