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C. Sales, F. Haq, R. Bustami, Frances Sun
From the Society for Clinical Vascular Surgery Management of isolated soleal and gastrocnemius vein thrombosis
P. Macdonald, S. Kahn, N. Miller, D. Obrand (2003)
Short-term natural history of isolated gastrocnemius and soleal vein thrombosis.Journal of vascular surgery, 37 3
E. Masuda, Darcy Kessler, R. Kistner, B. Eklof, D. Sato (1998)
The natural history of calf vein thrombosis: lysis of thrombi and development of reflux.Journal of vascular surgery, 28 1
J. Lohr, A. Fellner (2010)
Isolated calf vein thrombosis should be treated with anticoagulation.Disease-a-month : DM, 56 10
S. Deitcher, J. Caprini (2003)
Calf deep venous thrombosis should be treated with anticoagulation.The Medical clinics of North America, 87 6
R. O'Reilly (1980)
Complications of anticoagulant therapy.The Western journal of medicine, 132 5
J. Hirsh, G. Guyatt, G. Albers, R. Harrington, H. Schünemann (2008)
Executive summary: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition).Chest, 133 6 Suppl
Timothy Lautz, F. Abbas, S. Walsh, C. Chow, Daniel Amaranto, E. Wang, D. Blackburn, W. Pearce, M. Kibbe (2010)
Isolated Gastrocnemius and Soleal Vein Thrombosis: Should These Patients Receive Therapeutic Anticoagulation?Annals of Surgery, 251
M. Solis, T. Ranval, M. Nix, J. Eidt, C. Nelson, E. Ferris, R. Lavender, R. Barnes (1992)
Is anticoagulation indicated for asymptomatic postoperative calf vein thrombosis?Journal of vascular surgery, 16 3
(1988)
The signifi cance of calf muscle venous thrombosis
J. Hirsh, G. Guyatt, G. Albers, R. Harrington, H. Schünemann (2008)
Antithrombotic and thrombolytic therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition).Chest, 133 6 Suppl
ObjectivesThis study aims to compare the management of isolated soleal, gastrocnemius, peroneal, and posterior tibial vein thrombosis among outpatients with serial duplex ultrasound (DUS) over 30 days, versus anticoagulation.MethodsAfter obtaining IRB approval, a retrospective chart review was conducted from January 2009 to December 2010. A total of 15, 877 lower extremity DUS were performed. Inpatients, trauma patients, and patients with thrombi in or proximal to the popliteal vein were excluded to focus exclusively on an unprovoked outpatient population. Univariate and multivariate analyses were conducted as well as descriptive statistics of the data.ResultsThe cohort consists of one hundred sixty-eight (n = 168) outpatients with isolated calf deep vein thrombosis (ICDVT). Thrombus was most frequently identified in the soleal vein (45%) followed by the peroneal (39%), gastrocnemius (29%), and the posterior tibial vein (23%). Following diagnosis of ICDVT, thirty-eight patients (n = 38) received anticoagulation. The remaining cohort (n = 130) underwent surveillance with serial DUS at 3, 10, and 30 days. Eleven percent (11%) propagated to the popliteal vein or proximally during surveillance, versus 8% following anticoagulation. Among those that propagated proximally, 85% propagated within two weeks of initial diagnosis. Proximal propagation (p = 0.8328), pulmonary embolism (p = 0.0537), and development of new thrombus in additional calf veins (p = 0.1471) did not differ among those treated with anticoagulation or serial DUS.ConclusionsSerial DUS without anticoagulation is safe management of ICDVT in unprovoked ambulatory outpatients.
Journal for Vascular Ultrasound – SAGE
Published: Jun 1, 2014
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