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Updated: May 24, 2026

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
10:26

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

Published on: June 2, 2015

Association of deep venous thrombosis with calf vein diameter in acute hemorrhagic stroke

Toshiyasu Ogata1, Masahiro Yasaka, Yoshiyuki Wakugawa

  • 1Department of Cerebrovascular Disease, Cerebrovascular Center and Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|March 20, 2012
PubMed

Insights

Deep venous thrombosis (DVT) in acute hemorrhagic stroke patients is linked to increased calf vein diameter. Specifically, dilated posttibial and peroneal veins at two weeks post-stroke indicate a higher DVT risk.

Area of Science:

  • Vascular Medicine
  • Neurology
  • Diagnostic Imaging

Background:

  • Deep venous thrombosis (DVT) is a significant complication in patients with acute hemorrhagic stroke.
  • Early identification of DVT risk factors is crucial for timely intervention and improved patient outcomes.

Purpose of the Study:

  • To investigate the association between calf vein diameter and the development of DVT in patients with intracerebral hemorrhage.
  • To determine if initial calf vein measurements predict DVT development.

Main Methods:

  • Ultrasonography was used to measure the maximum diameter of posttibial veins (PTVs) and peroneal veins (PVs) in 49 patients with intracerebral hemorrhage.
  • Measurements were taken on admission and at 2 weeks post-stroke.
  • The presence or absence of DVT was assessed, and its association with vein diameter was analyzed.

Main Results:

  • At 2 weeks post-stroke, DVTs were detected in 7 patients (PTVs) and 6 patients (PVs).
  • Patients with DVT exhibited significantly greater maximum calf vein diameters at 2 weeks compared to those without DVT (PTV, P = .033; PV, P = .015).
  • Calf vein diameter at admission did not predict future DVT incidence.

Conclusions:

  • Calf vein dilatation at 2 weeks after intracerebral hemorrhage is associated with the presence of deep venous thrombosis.
  • While initial vein diameter is not predictive, later changes may serve as an indicator for DVT development in stroke patients.

Keywords:
Calf veindeep venous thrombosisdiameterintracerebral hemorrhageultrasonography

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