PMID- 19935595 OWN - NLM STAT- MEDLINE DCOM- 20101012 LR - 20220330 IS - 0392-9590 (Print) IS - 0392-9590 (Linking) VI - 28 IP - 5 DP - 2009 Oct TI - Prevalence of deep vein thrombosis and pulmonary embolism in superficial thrombophlebitis of the lower limbs: prospective study of 60 cases. PG - 400-8 AB - AIM: Superficial thrombophlebitis (ST) ascending the lower limbs is a common disease, which may be associated with deep vein thrombosis (DVT) and pulmonary embolism (PE). The aim of this study was to investigate the prevalence of DVT and PE as complications of ascending ST of the lower limbs in the great saphenous vein (GSV) or SSV (SSV) and probable risk factors. METHODS: For this study 60 consecutive patients were enrolled with ascending ST of the GSV or SSV, seen between 2000 and 2003 at a public hospital in Botucatu, SP, Brazil. All patients were assessed clinically, by venous Duplex scanning of the lower limbs to confirm ST and test for DVT, and by means of pulmonary scintigraphy to test for PE. RESULTS: In 13 ST cases (21.67%) there was concomitant DVT and 17 ST patients (28.33%) also had PE. Eleven patients had a clinical status suggestive of DVT, but only in eight of these (61.5%), this clinical diagnosis was confirmed. Fourteen patients had a clinical status suggestive of PE, and this diagnosis was confirmed in six cases (35.30%). ST patients who also had DVT and/or PE were given anticoagulant treatment with heparin and warfarin. None of the variables studied was predictive of DVT or PE (P>0.05). However, the presence of varicose veins reduced the risk of patients having DVT (relative risk=9.09; 95%CI:1.75 - 50.00 and P=0.023). CONCLUSIONS: The prevalence rates of PE (28.3%) and DVT (21.6%) were elevated in this sample of ascending ST cases, indicating a need for detailed assessment of patients for signs of these complications, including for therapeutic management decision making. FAU - Sobreira, M Lima AU - Sobreira ML AD - Department of Orthopedic Surgery, Botucatu Medical School, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil. mlsobreira@gmail.com FAU - Maffei, F Humberto De Abreu AU - Maffei FH FAU - Yoshida, W Bonetti AU - Yoshida WB FAU - Rollo, H Almeida AU - Rollo HA FAU - Lastoria, S AU - Lastoria S FAU - Griva, B Lotufo AU - Griva BL FAU - De Carvalho, L Raquel AU - De Carvalho LR LA - eng PT - Journal Article PL - Italy TA - Int Angiol JT - International angiology : a journal of the International Union of Angiology JID - 8402693 RN - 0 (Anticoagulants) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Anticoagulants/therapeutic use MH - Brazil/epidemiology MH - Female MH - Hospitals, Public MH - Humans MH - Lower Extremity/*blood supply MH - Male MH - Middle Aged MH - Prevalence MH - Prospective Studies MH - Pulmonary Embolism/diagnosis/drug therapy/*epidemiology/etiology MH - Radionuclide Imaging MH - Risk Assessment MH - Risk Factors MH - *Saphenous Vein MH - Thrombophlebitis/complications/diagnosis/drug therapy/*epidemiology MH - Ultrasonography, Doppler, Duplex MH - Venous Thrombosis/diagnosis/drug therapy/*epidemiology/etiology MH - Young Adult EDAT- 2009/11/26 06:00 MHDA- 2010/10/13 06:00 CRDT- 2009/11/26 06:00 PHST- 2009/11/26 06:00 [entrez] PHST- 2009/11/26 06:00 [pubmed] PHST- 2010/10/13 06:00 [medline] AID - R34092346 [pii] PST - ppublish SO - Int Angiol. 2009 Oct;28(5):400-8.