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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

Serial long-term phlebography after documented lower leg thrombosis

E O Lipchik, J A Deweese, S M Rogoff

    Radiology
    |September 1, 1976
    PubMed

    Insights

    This study shows that deep vein thrombosis (DVT) in the calf clears best. Vein recovery varies with occlusion extent, but normal venous structures often return after DVT.

    Area of Science:

    • Vascular Medicine
    • Radiology
    • Pathology

    Background:

    • Deep vein thrombosis (DVT) can lead to long-term venous damage.
    • Understanding the phlebographic appearance of post-thrombotic veins is crucial for patient management.

    Purpose of the Study:

    • To describe the phlebographic findings in patients following deep vein thrombosis.
    • To correlate phlebographic results with the extent and location of the initial thrombotic event.

    Main Methods:

    • Retrospective analysis of 86 phlebograms from 38 patients.
    • Follow-up duration ranged from 2 weeks to 6 years post-thrombosis.
    • Phlebographic patterns were assessed for vein clearance, occlusion, and structural restoration.

    Main Results:

    • Veins cleared earliest and most completely in calf-limited thrombosis.
    • Totally occluded veins showed slower and less complete clearance compared to partially occluded or non-occluded veins.
    • Post-thrombotic restoration of normal venous and valvular structures was frequently observed.

    Conclusions:

    • Phlebography is valuable in assessing DVT outcomes.
    • Vein recanalization and structural repair are common sequelae of DVT.
    • Observed phlebographic patterns correlate with pathological findings of intimal thickening post-thrombosis.

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