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5 October 1999 | Volume 131 Issue 7 | Pages 510-513
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.
Author and Article Information
From Hôpital Broussais and Hôpital Saint-Joseph, Paris, France.
Acknowledgment: The authors thank Professor Gilles Chatellier (Service d'Informatique Médicale, Hôpital Broussais) for help with the statistical analyses.
Requests for Reprints: Jean-Noël Fiessinger, MD, Service de Médecine Vasculaire, Hôpital Broussais, 96 rue Didot, 75674 Paris Cedex 14, France.
Current Author Addresses: Drs. Héron, Lozinguez, Emmerich, and Fiessinger: Service de Médecine Vasculaire and Centre Claude Bernard de Recherche sur les Maladies Vasculaires Périphériques, Hôpital Broussais, 96 rue Didot, 75674 Paris Cedex 14, France.
Dr. Laurian: Service de Chirurgie Vasculaire, Hôpital Saint-Joseph, 185 rue Raymond Losserand, 75674 Paris Cedex 14, France. BRIEF COMMUNICATION
Long-Term Sequelae of Spontaneous Axillary–Subclavian Venous Thrombosis
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