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[Superficial thrombophlebitis].

G M Andreozzi1, F Verlato

  • 1Unità Operativa di Angiologia, Azienda Ospedaliera-Università, Padova.

Minerva Cardioangiologica
|March 20, 2001
PubMed
Summary

Superficial venous thrombosis (SVT) of the leg, especially in the main trunk, can be serious. It carries a risk of pulmonary embolism, even without deep venous thrombosis (DVT), suggesting anticoagulation may be beneficial.

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Area of Science:

  • Vascular Surgery
  • Thrombosis Research
  • Medical Diagnostics

Context:

  • Superficial venous thrombosis (SVT) of the leg is often considered benign.
  • However, SVT involving the main saphenous vein trunk may have a more complex natural history.
  • Existing literature reports a significant association between SVT and deep venous thrombosis (DVT), ranging from 17% to 40%.

Purpose:

  • To investigate the embolic potential of saphenous vein thrombi.
  • To assess the risk of pulmonary embolism in patients with SVT.
  • To evaluate the efficacy of anticoagulation in managing SVT.

Summary:

  • Saphenous vein thrombi can embolize even without evident deep venous involvement.
  • A study found a high probability of pulmonary embolism in patients with SVT (33.3%), with symptoms present in only one patient.
  • The risk of pulmonary embolism is similar whether or not the sapheno-femoral junction is involved.

Impact:

  • Highlights the potential severity of superficial venous thrombosis, challenging the perception of it being a mild condition.
  • Emphasizes the necessity of duplex ultrasonography to rule out concurrent deep venous thrombosis.
  • Suggests a potential benefit of anticoagulation for SVT patients, warranting further investigation and prospective studies.

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