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Thromb Haemost 1994; 72(03): 372-376
DOI: 10.1055/s-0038-1648873
Original Article
Schattauer GmbH Stuttgart

Venous Diameter and Compliance after Deep Venous Thrombosis

Mark H Meissner
The Department of Surgery, University of Washington School of Medicine, Seattle, Washington, USA
,
Richard A Manzo
The Department of Surgery, University of Washington School of Medicine, Seattle, Washington, USA
,
Robert O Bergelin
The Department of Surgery, University of Washington School of Medicine, Seattle, Washington, USA
,
D Eugene Strandness Jr
The Department of Surgery, University of Washington School of Medicine, Seattle, Washington, USA
› Institutsangaben
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Publikationsverlauf

Received 20. Januar 1994

Accepted after resubmission 31. Mai 1994

Publikationsdatum:
25. Juli 2018 (online)

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Summary

Duplex sonography was used to measure diameters of the common femoral, superficial femoral, and popliteal veins in 56 patients followed for more than 6 months after DVT and in 17 normal subjects. Diameter changes with Valsalva’s maneuver were also measured as an index of venous compliance.

Among patients with unilateral thrombosis, segments with residual disease were 0.07 to 0.28 cm smaller than the contralateral disease-free side (p <0.05 for CFV and SFV) with a diameter index (ipsilateral/con-tralateral diameter) significanty less than that of normal subjects. In contrast, completely recanalized segments were not significantly different from the contralateral side and had diameter indices indistinguishable from normal subjects. Distensibility with Valsalva’s maneuver was not significantly different from normal in DVT patients with either resolved or residual disease.

Venous diameter does decrease following DVT, but returns to normal following complete recanalization and is not associated with chronic venous compliance changes.

 

  • References

  • 1 Killewich LA, Bedford GR, Beach KW, Strandness Jr DE. Spontaneous lysis of deep venous thrombi: Rate and outcome. J Vase Surg 1989; 9: 89-97
    CrossrefPubMedGoogle Scholar
  • 2 Killewich LA, Martin R, Cramer M, Beach KW, Strandness DE. An objective assessment of the physiological changes in the postthrombotic syndrome. Arch Surg 1985; 120: 424-426
    CrossrefPubMedGoogle Scholar
  • 3 Markel A, Manzo RA, Bergelin RO, Strandness DE. Valvular reflux after deep vein thrombosis: Incidence and time of occurrence. J Vase Surg 1992; 15: 377-384
    CrossrefPubMedGoogle Scholar
  • 4 van Bemmelen PS, Bedford G, Beach K, Strandness DE. Functional status of the deep venous system after an episode of deep venous thrombosis. Ann Vase Surg 1990; 4: 455-459
    CrossrefPubMedGoogle Scholar
  • 5 van Bemmelen PS, Bedford G, Beach K, Strandness Jr DE. Status of the valves in the superficial and deep venous system in chronic venous disease. Surgery 1991; 109: 730-734
    PubMedGoogle Scholar
  • 6 Cox JST. The maturation and canalization of thrombi. Surg Gyn Obstet 1963; 593-599
    PubMedGoogle Scholar
  • 7 Murphy TP, Cronan JJ. Evolution of deep venous thrombosis: a prospective evaluation with US. Radiology 1990; 177: 543-548
    CrossrefPubMedGoogle Scholar
  • 8 Alpers D, Clouse R, Stenson W. Manual of nutritional therapeutics. Little, Brown and Company, Boston, MA 1983
    PubMedGoogle Scholar
  • 9 Hollander M, Wolfe D. The one-way layout. In: Nonparametric statistical methods New York: John Wiley & Sons; 1973: 124-129
  • 10 Baxter GM, Duffy P, MacKechnie S. Colour Doppler ultrasound of the post-phlebitic limb: sounding a cautionary note. Clin Radiol 1991; 43: 301-304
    CrossrefPubMedGoogle Scholar
  • 11 Cronan JJ, Leen V. Recurrent deep venous thrombosis: Limitations of US. Radiology 1989; 170: 739-742
    CrossrefPubMedGoogle Scholar
  • 12 Jaeger K, Seifert H, Bollinger A. M-mode echo venography: a new technique for the evaluation of venous wall and valve motion. Cardiovasc Res 1989; 23: 25-30
    CrossrefPubMedGoogle Scholar
  • 13 Junker JA, Totty WG, Stanley RJ, McClennan BL. Computed-tomographic confirmation of femoral vein distension with the Valsalva maneuver. Radiology 1983; 147: 275
    CrossrefPubMedGoogle Scholar
  • 14 Moneta GL, Bedford G, Beach K, Strandness DE. Duplex ultrasound assessment of venous diameters, peak velocities, and flow patterns. J Vase Surg 1988; 8: 286-291
    CrossrefPubMedGoogle Scholar
  • 15 Attinger EO. Wall properties of veins. IEEE Trans Biomed Eng BME 1969; 16: 253-261
    PubMedGoogle Scholar
  • 16 Dodd H, Cockett FB. The surgical anatomy of the veins of the lower limb. In: The pathology and surgery of the veins of the lower limb Second ed Edinburgh: Churchill Livingstone; 1976: 18-49
  • 17 Raghavendra BN, Horii SC, Hilton S, Subramanyam BR, Rosen RJ, Lam S. Deep Venous Thrombosis: Detection by probe compression of veins. J Ultrasound Med 1986; 5: 89-95
    CrossrefPubMedGoogle Scholar
  • 18 Moreno AH, Katz AI, Gold LD, Reddy RV. Mechanics of distension of dog veins and other very thin-walled tubular structures. Circ Res 1970; 27: 1069-1080
    CrossrefPubMedGoogle Scholar
  • 19 Strandness DE, Summer DS. Mechanical properties of the blood vessel wall. In: Hemodynamics for surgeons Grune and Stratton, Inc.,; New York: 1975: 161-205
  • 20 Kidson IG. The effect of wall mechanical properties on patency of arterial grafts. Ann R Coll Surg Engl 1983; 65: 24-29
    PubMedGoogle Scholar
  • 21 Sevitt S. The mechanisms of canalisation in deep vein thrombosis. J Path 1973; 110: 153-165
    CrossrefPubMedGoogle Scholar