Long-term sequelae of spontaneous axillary-subclavian venous thrombosis.

Abstract:

BACKGROUND:The frequency and severity of post-thrombotic sequelae after spontaneous axillary-subclavian venous thrombosis remain poorly known. OBJECTIVE:To determine the late sequelae of conventionally treated spontaneous axillary-subclavian venous thrombosis. DESIGN:Cross-sectional study. SETTING:University department of vascular medicine. PATIENTS:54 patients seen during an 18-year period (mean follow-up, 5 years). MEASUREMENTS:Scores for the severity of post-thrombotic symptoms were graded on a numerical rating scale ranging from 0 to 10 and on a 6-point verbal rating scale. Ultrasonographic sequelae were classified as grade 0, normal flow; grade 1, moderate obstruction; or grade 2, severe obstruction or occlusion. RESULTS:Verbal scores were "nil/negligible" in 47% of patients and "severe/intolerable" in 13%; numerical scores were 0 to 3 in 78% of patients and 7 to 10 in 9%. Grade 2 ultrasonographic sequelae were found in 22% of cases. No relation was seen between ultrasonographic sequelae and symptom severity scores. CONCLUSION:The overall clinical outcome of spontaneous axillary-subclavian venous thrombosis is good, and there is no relation between the severity of late symptoms and ultrasonographic sequelae.

journal_name

Ann Intern Med

authors

Héron E,Lozinguez O,Emmerich J,Laurian C,Fiessinger JN

doi

10.7326/0003-4819-131-7-199910050-00006

subject

Has Abstract

pub_date

1999-10-05 00:00:00

pages

510-3

issue

7

eissn

0003-4819

issn

1539-3704

pii

199910050-00006

journal_volume

131

pub_type

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