Long-term sequelae of spontaneous axillary-subclavian venous thrombosis.
The frequency and severity of post-thrombotic sequelae after spontaneous axillary-subclavian venous thrombosis remain poorly known.
To determine the late sequelae of conventionally treated spontaneous axillary-subclavian venous thrombosis.
University department of vascular medicine.
54 patients seen during an 18-year period (mean follow-up, 5 years).
Scores for the severity of post-thrombotic symptoms were graded on a numerical rating scale ranging from 0 to 10 and on a 6-point verbal rating scale.
Ultrasonographic sequelae were classified as grade 0, normal flow ; grade 1, moderate obstruction ; or grade 2, severe obstruction or occlusion.
Verbal scores were « nil/negligible'in 47% of patients and » severe/intolerable'in 13% ; numerical scores were 0 to 3 in 78% of patients and 7 to 10 in 9%. Grade 2 ultrasonographic sequelae were found in 22% of cases.
No relation was seen between ultrasonographic sequelae and symptom severity scores.
The overall clinical outcome of spontaneous axillary-subclavian venous thrombosis is good, and there is no relation between the severity of late symptoms and ultrasonographic sequelae.
Mots-clés Pascal : Thrombose, Veine sousclavière, Spontané, Anticoagulant, Chimiothérapie, Traitement, Séquelle, Long terme, Veine axillaire, Etude transversale, Randomisation, Evaluation, Imagerie ultrasonore, Aggravation, Résultat, Homme, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Thrombosis, Subclaviar vein, Spontaneous, Anticoagulant, Chemotherapy, Treatment, Sequela, Long term, Axillary vein, Cross sectional study, Randomization, Evaluation, Ultrasound imaging, Aggravation, Result, Human, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0504095
Code Inist : 002B02G. Création : 22/03/2000.