Superficial Venous Thrombosis and Venous Thromboembolism

Décousus, Hervé; Quéré, Isabelle; Presles, Émilie; Becker, F.; Barrellier, M.-T.; Chanut, Myriam; Gillet, J.-L.; Guenneguez, H; Leandri, Christine; Mismetti, Patrick; Pichot, Olivier; Leizorovicz, Alain

doi:10.7326/0003-4819-152-4-201002160-00006

Cited by 292 publications

(153 citation statements)

References 20 publications

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“…To the best of our knowledge the exact incidence of asymptomatic SVT in ambulatory cancer patients has not been described in literature so far. We know that a quarter of patients with SVT also have DVT found in CUS or symptomatic PE as reported by a recently published analysis of Decousus et al (2010). Anticoagulant therapy is indicated in these patients similar to DVT patients.…”

Section: Discussionmentioning

confidence: 84%

Asymptomatic deep vein thrombosis and superficial vein thrombosis in ambulatory cancer patients: impact on short-term survival

et al. 2012

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Background:Asymptomatic venous thrombotic events (VTEs) are possible findings in ambulatory cancer patients. Data regarding the incidence and clinical impact of asymptomatic VTEs are conflicting. We therefore conducted a study to evaluate the occurrence of asymptomatic VTEs of the lower limbs in ambulatory cancer patients to further evaluate the association of these asymptomatic VTEs on survival during a 9-month follow-up period.Methods:In our prospective cohort, we included 150 consecutive ambulatory cancer patients who were free of any clinical symptoms for VTEs. Compression ultrasound to detect deep vein thrombosis (DVT) and superficial venous thrombosis (SVT) of the lower limbs was performed by a vascular specialist in all patients at baseline. In case of pathological findings the patients were treated with low molecular weight heparin (LMWH) because of current established guidelines. The occurrence of death was investigated during a 9-month follow-up period.Results:A total of 27 (18%) patients with VTEs were detected, which included 13 patients (8.7%) with a SVT and 16 patients (10.7%) showing a DVT. Two patients had both, a SVT and a DVT as well. During the 9-month follow-up period the occurrence of a VTE at baseline was associated with a 2.4-fold increased risk for death (HR 2.4 (1.2–5.3); P=0.03).Conclusion:Asymptomatic VTEs of the lower limbs in ambulatory cancer patients are frequently occurring concomitant features and are associated with poor survival during a 9-month follow-up period despite anticoagulation with LMWH.

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Section: Discussionmentioning

confidence: 84%

Asymptomatic deep vein thrombosis and superficial vein thrombosis in ambulatory cancer patients: impact on short-term survival

et al. 2012

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“…At presentation with SVT, 25% of patients had a concurrent DVT. Among patients without concurrent DVT, 10% developed a thromboembolic complication within the three month follow-up period 32 . Heit et al performed a matched case control study of 625 patients with a first lifetime VTE event.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Postoperative Venous Thromboembolism Risk in Plastic Surgery Patients Using the 2005 and 2010 Caprini Risk Score

Pannucci

Barta

Portschy

et al. 2012

Plastic &Amp; Reconstructive Surgery

114

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Background Venous thromboembolism (VTE) is an important patient safety issue. We sought to compare the predictive capacity of the 2005 and 2010 Caprini Risk Assessment Models for peri-operative VTE risk. Methods We performed a retrospective, observational, cross-over study using an established surgical outcomes database. A total of 3,334 adult plastic surgery patients were identified. Patients were risk-stratified using both the 2005 and 2010 Caprini Risk Assessment Model (RAM). Each patient served as their own control, resulting in precise matching for identified and unidentified confounders. The outcome of interest was 60-day, symptomatic VTE. The predictive capacities of the 2005 and 2010 Caprini risk scores were compared. Results Use of the 2010 Caprini RAM resulted in a systematic increase in the aggregate risk score. The median 2010 Caprini score was significantly higher than median 2005 Caprini score (6 vs. 5, P<.001). When compared to the 2010 model, the 2005 Caprini RAM was able to better separate the lowest and highest risk patients from one another. Patients classified as “super-high” risk (Caprini score >8) using the 2005 Caprini RAM were significantly more likely to have a 60-day VTE event when compared to patients classified as “super-high” risk using the 2010 guidelines (5.85% vs. 2.52%, P=.021). Conclusion When compared to the 2010 Caprini RAM, the 2005 Caprini RAM provides superior risk stratification. The 2005 Caprini RAM is the more appropriate method to risk-stratify plastic surgery patients for peri-operative VTE risk. Level of evidence Risk, II

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“…162 Prior superficial vein thrombosis is an independent risk factor for subsequent DVT or PE, remote from the episode of superficial thrombophlebitis. 121,163 The risk of DVT associated with varicose veins is uncertain, and seems to vary with patient age. 121,164,165 Long haul (>4–6 h) air travel is associated with a slightly increased risk of VTE (1 VTE event per 4,656 flights 166–168 ), which is preventable by the use of elastic compression stockings.…”

Section: Risk Factors For Incident Vtementioning

confidence: 99%

Epidemiology of venous thromboembolism

2015

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Thrombosis can affect any venous circulation. Venous thromboembolism (VTE) includes deep-vein thrombosis of the leg or pelvis, and its complication, pulmonary embolism. VTE is a fairly common disease, particularly in older age, and is associated with reduced survival, substantial health-care costs, and a high rate of recurrence. VTE is a complex (multifactorial) disease, involving interactions between acquired or inherited predispositions to thrombosis and various risk factors. Major risk factors for incident VTE include hospitalization for surgery or acute illness, active cancer, neurological disease with leg paresis, nursing-home confinement, trauma or fracture, superficial vein thrombosis, and—in women—pregnancy and puerperium, oral contraception, and hormone therapy. Although independent risk factors for incident VTE and predictors of VTE recurrence have been identified, and effective primary and secondary prophylaxis is available, the occurrence of VTE seems to be fairly constant, or even increasing.

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Superficial Venous Thrombosis and Venous Thromboembolism

Abstract: GlaxoSmithKline, sanofi-aventis, and the Ministère Francais de la Santé et des Sports (Programme Hospitalier de Recherche Clinique).

Cited by 292 publications

References 20 publications

Asymptomatic deep vein thrombosis and superficial vein thrombosis in ambulatory cancer patients: impact on short-term survival

Asymptomatic deep vein thrombosis and superficial vein thrombosis in ambulatory cancer patients: impact on short-term survival

Assessment of Postoperative Venous Thromboembolism Risk in Plastic Surgery Patients Using the 2005 and 2010 Caprini Risk Score

Epidemiology of venous thromboembolism

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