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[The post-thrombotic syndrome. A review].
L L Olesen1, B Laursen, J A Nielsen
1Aalborg Sygehus, medicinsk afdeling B.
Ugeskrift for Laeger
|November 2, 1992
Summary
Post-thrombotic syndrome, resulting from deep venous thrombosis, causes chronic leg symptoms. Lifelong conservative compressive bandaging is the primary treatment to manage symptoms and prevent ulcer recurrence.
Area of Science:
- Vascular Medicine
- Phlebology
Context:
- Post-thrombotic syndrome (PTS) arises from deep venous thrombosis (DVT).
- Characterized by chronic leg pain, edema, skin changes, and ulceration.
- Caused by venous valve dysfunction and/or deep vein obstruction leading to venous hypertension.
Purpose:
- To review the pathophysiology, diagnosis, and management of post-thrombotic syndrome.
- To highlight the efficacy of conservative treatment modalities.
Summary:
- Diagnosis involves assessing the muscular-venous pump function via plethysmography or dynamic phlebography.
- Valvuloplasty has shown limited success.
- Conservative compressive bandaging is the cornerstone of management, reducing symptoms, healing ulcers, and preventing recurrence.
Impact:
- Emphasizes the critical need for lifelong adherence to compressive bandaging for effective PTS management.
- Informs clinical practice regarding the primary treatment strategy for PTS.
- Highlights the limitations of surgical interventions like valvuloplasty.