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A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
Published on: June 2, 2015
Thrombus size is associated with etiology of deep venous thrombosis--a cross-sectional study
Niksa Vucić1, Tihana Magdić, Anton Krnić
1Department of Internal Medicine, General Hospital "Sveti Duh", Zagreb, Croatia.
Insights
Malignant diseases significantly increase deep vein thrombosis (DVT) clot size, with cancer patients exhibiting the largest thrombi. Understanding DVT risk factors is crucial for assessing clot severity.
Area of Science:
- Vascular Medicine
- Hematology
- Thrombosis Research
Background:
- Deep vein thrombosis (DVT) is a significant vascular condition.
- Identifying risk factors associated with DVT severity is clinically important.
Purpose of the Study:
- To investigate the relationship between various risk factors and thrombus size in lower extremity deep vein thrombosis.
- To determine which risk factors are most strongly associated with larger DVT clot burden.
Main Methods:
- Patients diagnosed with DVT had their thrombus size scored using the International Consensus Committee for venous disease classification.
- Predominant DVT risk factors were identified for each patient.
- Statistical analysis was performed to correlate risk factors with thrombus scores.
Main Results:
- The average thrombus score was 6. Patients with malignancy had the largest average thrombus score (8.5), significantly higher than other risk groups.
- Age showed a slight positive correlation with thrombus size (r = 0.19, p = 0.046).
- No significant correlation was found between symptom onset to diagnosis time and thrombus score (r = -0.08, p = 0.38). Gender had no significant impact.
Conclusions:
- The etiology of deep vein thrombosis, particularly the presence of malignant diseases, is the primary determinant of venous thrombus size.
- Malignancy represents a critical risk factor associated with the most extensive DVT.
- Further research into the mechanisms linking cancer and DVT severity is warranted.
Abstract:
The aim of this study was to evaluate the impact of risk factors for deep vein thrombosis (DVT) on thrombus sizes in lower extremities. The size and extent of thrombus was scored according to International Consensus Committee for venous disease classification. After the diagnosis of DVT was established and its size scored, predominant risk factors for DVT in each patient were identified (malignant disease, thrombophilia, postoperative state, hormonal therapy, heredity, limb trauma, immobilization, others and unknown risk factors). The average thrombus score was 6 (95% CI 5.47-6.53). The analysis of thrombus size indicated that the largest thrombi were found in patients with malignancy. Their average score was 8.5 (95% CI 7-10) and was significantly higher than in patients with other risk factors for deep vein thrombosis. There was no significant correlation between numbers of days from the onset of symptoms to the moment of DVT diagnosis and thrombus score (r = -0.08, p = 0.38). Age was very slightly correlated to thrombus size (r = 0.19; p = 0.046), while the gender did not have significant impact on thrombus score (p = 0.074). The conclusion of our study was that etiology of thrombosis and particularly malignant diseases has the largest impact on venous thrombus size.
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