Emmanuel Héron, MD; Olivier Lozinguez, MD; Joseph Emmerich, MD, PhD; Claude Laurian, MD; Jean-Noël Fiessinger, MD
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.
Héron E, Lozinguez O, Emmerich J, Laurian C, Fiessinger J. Long-Term Sequelae of Spontaneous Axillary–Subclavian Venous Thrombosis. Ann Intern Med. 1999;131:510-513. doi: 10.7326/0003-4819-131-7-199910050-00006
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Published: Ann Intern Med. 1999;131(7):510-513.
The frequency and severity of post-thrombotic sequelae after spontaneous axillaryâ€“subclavian venous thrombosis remain poorly known.
To determine the late sequelae of conventionally treated spontaneous axillaryâ€“subclavian venous thrombosis.
University department of vascular medicine.
54 patients seen during an 18-year period (mean follow-up, 5 years).
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.
Verbal scores were â€œnil/negligibleâ€ in 47% of patients and â€œsevere/intolerableâ€ 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.
The overall clinical outcome of spontaneous axillaryâ€“subclavian venous thrombosis is good, and there is no relation between the severity of late symptoms and ultrasonographic sequelae.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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