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  1. Long-term sequelae of spontaneous axillary-subclavian venous thrombosis.

    Article - En anglais

    Background 

    The frequency and severity of post-thrombotic sequelae after spontaneous axillary-subclavian venous thrombosis remain poorly known.

    Objective 

    To determine the late sequelae of conventionally treated spontaneous axillary-subclavian venous thrombosis.

    Design 

    Cross-sectional study.

    Setting 

    University department of vascular medicine.

    Patients 

    54 patients seen during an 18-year period (mean follow-up, 5 years).

    Measurements 

    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.

    Results 

    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.

    Conclusion 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0504095

    Code Inist : 002B02G. Création : 22/03/2000.