Incidence and Risk Factors for Bilateral Deep Venous Thrombosis of the Lower Limbs

被引:14
作者
Casella, Ivan B. [1 ]
Bosch, Maria A. [1 ]
Sabbag, Claudio R. D. [1 ]
机构
[1] Hosp Reg Sul, Div Vasc Surg, Sao Paulo, Brazil
关键词
deep venous thrombosis; Doppler; duplex; bilateral; risk factor; HIV; VEIN THROMBOSIS; UNILATERAL SYMPTOMS; POSTTHROMBOTIC SYNDROME; HIV-INFECTION; ONE LEG; DIAGNOSIS; VENOGRAPHY; CANCER; ULTRASONOGRAPHY; ULTRASOUND;
D O I
10.1177/0003319708316897
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The incidence of bilateral deep venous thrombosis in patients with single limb or bilateral symptoms was determined using duplex scan examination. In a prospective study, 157 inpatients with clinical suspicion of deep venous thrombosis underwent duplex scan evaluation of the lower extremities. Demographic characteristics, physical examination data, and risk factor information were collected. In all, 57 (36.3%) patients evaluated presented echographic evidence of acute deep venous thrombosis. Forty-six individuals presented unilateral thrombosis, and I I patients presented bilateral disease (19.3% of all thrombosis, 7.0% of all patients). Sensitivity and specificity of clinical examination in identifying bilateral thrombosis was 27.2% and 93.3%, respectively For the risk factors evaluated, active human immunodeficiency virus disease and iliofemoral thrombosis presented an increased risk for bilateral thrombosis (P = .04 5 and P = .049, respectively). The high incidence of bilateral deep venous thrombosis justifies bilateral duplex scan examination. Active human immunodeficiency virus disease and proximal thrombosis were risk factors for bilateral disease.
引用
收藏
页码:99 / 103
页数:5
相关论文
共 50 条
[41]   Incidence and risk factors of preoperative isolated calf deep venous thrombosis following hip fractures [J].
Zhao, Weiguang ;
Zhao, Jianlong ;
Liu, Tiantian ;
Liu, Zhenwu ;
Liu, Li .
MEDICINE, 2022, 101 (12) :E29140
[42]   Incidence and Risk Factors of Deep Vein Thrombosis in Hospitalized COVID-19 Patients [J].
Yu, Yuan ;
Tu, Jie ;
Lei, Bingxin ;
Shu, Huaqing ;
Zou, Xiaojing ;
Li, Ruiting ;
Huang, Chaolin ;
Qu, Yali ;
Shang, You .
CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS, 2020, 26
[43]   Preoperative incidence and risk factors of deep venous thrombosis in patients with isolated femoral shaft fracture [J].
Weijie Yang ;
Qun Wei ;
Haicheng Wang ;
Kai Ding ;
Ming Li ;
Chao Li ;
Chunhui Liang ;
Yanbin Zhu ;
Wei Chen .
BMC Surgery, 22
[44]   Incidence of and risk factors for preoperative deep venous thrombosis in patients undergoing gastric cancer surgery [J].
Takeyuki Wada ;
Hisataka Fujiwara ;
Shinji Morita ;
Takeo Fukagawa ;
Hitoshi Katai .
Gastric Cancer, 2017, 20 :872-877
[45]   External validation of a prognostic score to identify low-risk outpatients with acute deep venous thrombosis in the lower limbs [J].
Galeano-Valle, Francisco ;
Alonso-Beato, Ruben ;
Moragon-Ledesma, Sergio ;
Pire-Garcia, Tatiana ;
Huergo-Fernandez, Olaya ;
Ordieres-Ortega, Lucia ;
Oblitas, Crhistian-Mario ;
Walther, Luis Antonio Alvarez-Sala ;
Demelo-Rodriguez, Pablo .
EUROPEAN JOURNAL OF INTERNAL MEDICINE, 2025, 132 :76-83
[46]   Deep vein thrombosis of the lower limbs in intravenous drug users [J].
Kwiatkowska, Wieslawa ;
Knysz, Brygida ;
Gasiorowski, Jacek ;
Witkiewicz, Wojciech .
POSTEPY HIGIENY I MEDYCYNY DOSWIADCZALNEJ, 2015, 69 :510-520
[47]   The Saudi clinical practice guideline for the diagnosis of the first deep venous thrombosis of the lower extremity [J].
Al-Hameed, Fahad ;
Al-Dorzi, Hasan M. ;
Shamy, Abdulrahman ;
Qadi, Abdulelah ;
Bakhsh, Ebtisam ;
Aboelnazar, Essam ;
Abdelaal, Mohamad ;
Al Khuwaitir, Tarig ;
Al-Moamary, Mohamed S. ;
Al-Hajjaj, Mohamed S. ;
Brozek, Jan ;
Schuenemann, Holger ;
Mustafa, Reem ;
Falavigna, Maicon .
ANNALS OF THORACIC MEDICINE, 2015, 10 (01) :3-15
[48]   Risk Factors and Clinical Value of Deep Venous Thrombosis After Traumatic Lower Limb Fractures [J].
Zeng, Xiuyun ;
Zhu, Dan ;
Xiao, Zhifeng ;
Lin, Honglian .
JOURNAL OF CLINICAL LABORATORY ANALYSIS, 2025, 39 (08)
[49]   Risk factors for deep vein thrombosis of the lower extremity after total hip arthroplasty [J].
Hang, Lin ;
Haibier, Abuduwupuer ;
Kayierhan, Aiben ;
Abudurexiti, Tuerhongjiang .
BMC SURGERY, 2024, 24 (01)
[50]   Analysis of Risk Factors for Postoperative Lower Extremity Deep Venous Thrombosis and its Treatment and Nursing [J].
Liu, Huayun ;
Peng, Yunhua .
EMERGENCY MEDICINE INTERNATIONAL, 2022, 2022