지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.5
- 수록면
- 306 - 311 (6page)
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초록· 키워드
오류제보하기
Purpose: To determine the risk factors of delayed recanalization of isolated calf vein thrombosis (CVT). Methods: One hundred fifty limbs of 110 patients with CVT between September 2007 and April 2010 were enrolled. We used ultrasonography for the diagnosis and follow-up examinations of CVT. We calculated recanalization rates at 1 and 3 months after initial diagnosis and analyzed the risk factors associated with delayed recanalization of CVT. Results: CVTs were located in the muscular calf vein in 110 (73.3%), in the deep calf vein in 18 (12%), and in both in 22 cases (14.7%). Among all CVTs, 94 limbs (63%) were symptomatic. Major risk factors for CVT were orthopedic surgery (87.3%), malignancy (21.3%), and immobilization (15.3%). Sixty-seven patients (60.9%) were treated with oral anticoagulation therapy, while 43 patients by low molecular weight heparin (n = 19) or by conservative methods including elastic compression stockings and ambulation (n = 21). The cumulative recanalization rate at 1 and 3 months was 23% and 82% and it was significantly higher in patients who underwent oral anticoagulation therapy compared with patients without oral anticoagulation therapy (84% vs. 65%, P = 0.008 by log-rank test). Malignancy (odds ratio [OR], 2.789; P = 0.043) and immobilization (OR, 4.191; P = 0.029) were independent risk factors for delayed recanalization of CVT and oral anticoagulation (OR, 0.300; P = 0.020) was an independent factor in promoting recanalization in multivariate analysis. Conclusion: For patients with isolated CVT, no oral anticoagulation resulted in higher rates of delayed recanalization compared to oral anticoagulation treatment. Immobilization and having malignancy were independent risk factors for delayed recanalization.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Labropoulos N / 1999 / Patterns and distribution of isolated calf deep vein thrombosis / J Vasc Surg 30 : 787 ~ 791
2. [학술지(정기간행물)] - Simons GR / 1995 / Utility of leg ultrasonography in suspected symptomatic isolated calf deep venous thrombosis / Am J Med 99 : 43 ~ 47
3. [학술지(정기간행물)] - Gottlieb RH / 1999 / Clinical outcomes of untreated symptomatic patients with negative findings on sonography of the thigh for deep vein thrombosis: our experience and a review of the literature / AJR Am J Roentgenol 172 : 1601 ~ 1604
4. [학술지(정기간행물)] - Gottlieb RH / 1999 / Calf sonography for detecting deep venous thrombosis in symptomatic patients: experience and review of the literature / J Clin Ultrasound 27 : 415 ~ 420
5. [학술지(정기간행물)] - Oishi CS / 1994 / The clinical course of distal deep venous thrombosis after total hip and total knee arthroplasty, as determined with duplex ultrasonography / J Bone Joint Surg Am 76 : 1658 ~ 1663
2. [학술지(정기간행물)] - Simons GR / 1995 / Utility of leg ultrasonography in suspected symptomatic isolated calf deep venous thrombosis / Am J Med 99 : 43 ~ 47
3. [학술지(정기간행물)] - Gottlieb RH / 1999 / Clinical outcomes of untreated symptomatic patients with negative findings on sonography of the thigh for deep vein thrombosis: our experience and a review of the literature / AJR Am J Roentgenol 172 : 1601 ~ 1604
4. [학술지(정기간행물)] - Gottlieb RH / 1999 / Calf sonography for detecting deep venous thrombosis in symptomatic patients: experience and review of the literature / J Clin Ultrasound 27 : 415 ~ 420
5. [학술지(정기간행물)] - Oishi CS / 1994 / The clinical course of distal deep venous thrombosis after total hip and total knee arthroplasty, as determined with duplex ultrasonography / J Bone Joint Surg Am 76 : 1658 ~ 1663
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UCI(KEPA) : I410-ECN-0101-2013-514-002669381