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Local venous thrombosis after cardiac catheterization

R Zahn1, E Fromm, S Thoma

  • 1Department of Cardiology, Herzzentrum Ludwigshafen, Germany.

Angiology
|January 1, 1997
PubMed
Summary
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Deep venous thrombosis (DVT) is a rare complication of cardiac catheterization, with partial occluding thrombi (pDVT) found in 2.4% of patients. Venous puncture and multiple attempts increase the risk of developing pDVT.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Pulmonary embolism (PE) is a serious risk following cardiac catheterization.
  • Deep venous thrombosis (DVT) often presents asymptomatically, complicating diagnosis.
  • Assessing DVT incidence post-cardiac catheterization is crucial for patient safety.

Purpose of the Study:

  • To prospectively determine the incidence of DVT after cardiac catheterization.
  • To identify clinical and procedural risk factors for DVT development.
  • To evaluate the diagnostic utility of duplex sonography and phlebography.

Main Methods:

  • Prospective study of 450 patients undergoing diagnostic cardiac catheterization.
  • Clinical examination and high-resolution duplex sonography before and 24 hours post-procedure.

Related Experiment Videos

  • Continuous wave Doppler and phlebography used for further diagnosis in select cases.

    • Main Results:

    • No complete proximal DVT was detected; partial occluding thrombi (pDVT) occurred in 2.4% of patients, localized at the puncture site.
    • Venous puncture (OR 3.5) and multiple venous punctures (OR 9.8) significantly increased pDVT risk.
    • Clinical signs of DVT were minimal, with only 27% of pDVT cases showing abnormal Doppler sounds.

    Conclusions:

    • DVT is rare post-cardiac catheterization, but pDVT occurs in 2.4% of cases.
    • Venous access and multiple puncture attempts are identified risk factors for pDVT.
    • The clinical significance of asymptomatic pDVT requires further investigation.