Superficial venous thrombosis: Single-center experience and current recommendations

Introduction: Superficial venous thrombosis (SVT) is an underestimated and underreported disorder. Till date, there are no Indian epidemiological studies which have looked at the community or hospital prevalence rate of SVT. Patients and Methods: A retrospective cross-sectional study was done in the...

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Main Authors: Sasank Kalipatnapu, Prabhu Premkumar, Dheepak Selvaraj, Sunil Agarwal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Indian Journal of Vascular and Endovascular Surgery
Subjects:
Online Access:http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2019;volume=6;issue=4;spage=235;epage=241;aulast=Kalipatnapu
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author Sasank Kalipatnapu
Prabhu Premkumar
Dheepak Selvaraj
Sunil Agarwal
author_facet Sasank Kalipatnapu
Prabhu Premkumar
Dheepak Selvaraj
Sunil Agarwal
author_sort Sasank Kalipatnapu
collection DOAJ
description Introduction: Superficial venous thrombosis (SVT) is an underestimated and underreported disorder. Till date, there are no Indian epidemiological studies which have looked at the community or hospital prevalence rate of SVT. Patients and Methods: A retrospective cross-sectional study was done in the department of vascular surgery including all patients diagnosed and managed for SVT over the period of 2011–2018. All patients with deep vein thrombosis (DVT) were also screened for involvement of the superficial veins. The demographic data, imaging data, further management, and follow-up data were collected from the hospital records. The data were entered into EpiData software and Microsoft Excel (Microsoft Corporation, Redmond, Washington, USA), and data analysis was done in R (version 3.5.0) and Microsoft Excel. Results: There were a total of 119 patients between the ages of 16 and 76 years. There were 84 men and 35 women. The median age of the entire study population was 46 ± 14.18 years. Eighty-one cases had only SVT, whereas 38 patients had both SVT and DVT together. 78 (65.5%) patients were diagnosed based on clinical presentation, whereas 41 (34.5%) patients were diagnosed on imaging done for other causes. In the patients diagnosed on clinical findings, 54 (69.2%) patients underwent a duplex ultrasound to rule out DVT. 77 (64.7%) patients were related to underlying varicose veins. 19% of patients had previous thromboembolic disease. The most common involvement was of the superficial veins in the patients who were clinically diagnosed. 54 (45.4%) patients received anticoagulation. Six patients had systemic venous thromboembolic complications. Conclusions: Anticoagulation should be the mainstay of treatment of patients with SVT. Prospective studies on superficial vein thrombosis are needed to assess and promote awareness of this condition in light of the current understanding of this potentially dangerous condition.
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spelling doaj.art-beff01d993f8458caafa1414f00f5a312022-12-21T20:04:31ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992019-01-016423524110.4103/ijves.ijves_25_19Superficial venous thrombosis: Single-center experience and current recommendationsSasank KalipatnapuPrabhu PremkumarDheepak SelvarajSunil AgarwalIntroduction: Superficial venous thrombosis (SVT) is an underestimated and underreported disorder. Till date, there are no Indian epidemiological studies which have looked at the community or hospital prevalence rate of SVT. Patients and Methods: A retrospective cross-sectional study was done in the department of vascular surgery including all patients diagnosed and managed for SVT over the period of 2011–2018. All patients with deep vein thrombosis (DVT) were also screened for involvement of the superficial veins. The demographic data, imaging data, further management, and follow-up data were collected from the hospital records. The data were entered into EpiData software and Microsoft Excel (Microsoft Corporation, Redmond, Washington, USA), and data analysis was done in R (version 3.5.0) and Microsoft Excel. Results: There were a total of 119 patients between the ages of 16 and 76 years. There were 84 men and 35 women. The median age of the entire study population was 46 ± 14.18 years. Eighty-one cases had only SVT, whereas 38 patients had both SVT and DVT together. 78 (65.5%) patients were diagnosed based on clinical presentation, whereas 41 (34.5%) patients were diagnosed on imaging done for other causes. In the patients diagnosed on clinical findings, 54 (69.2%) patients underwent a duplex ultrasound to rule out DVT. 77 (64.7%) patients were related to underlying varicose veins. 19% of patients had previous thromboembolic disease. The most common involvement was of the superficial veins in the patients who were clinically diagnosed. 54 (45.4%) patients received anticoagulation. Six patients had systemic venous thromboembolic complications. Conclusions: Anticoagulation should be the mainstay of treatment of patients with SVT. Prospective studies on superficial vein thrombosis are needed to assess and promote awareness of this condition in light of the current understanding of this potentially dangerous condition.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2019;volume=6;issue=4;spage=235;epage=241;aulast=Kalipatnapuanticoagulationdeep vein thrombosispulmonary embolismsuperficial veinsuperficial venous thrombosisthrombosis
spellingShingle Sasank Kalipatnapu
Prabhu Premkumar
Dheepak Selvaraj
Sunil Agarwal
Superficial venous thrombosis: Single-center experience and current recommendations
Indian Journal of Vascular and Endovascular Surgery
anticoagulation
deep vein thrombosis
pulmonary embolism
superficial vein
superficial venous thrombosis
thrombosis
title Superficial venous thrombosis: Single-center experience and current recommendations
title_full Superficial venous thrombosis: Single-center experience and current recommendations
title_fullStr Superficial venous thrombosis: Single-center experience and current recommendations
title_full_unstemmed Superficial venous thrombosis: Single-center experience and current recommendations
title_short Superficial venous thrombosis: Single-center experience and current recommendations
title_sort superficial venous thrombosis single center experience and current recommendations
topic anticoagulation
deep vein thrombosis
pulmonary embolism
superficial vein
superficial venous thrombosis
thrombosis
url http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2019;volume=6;issue=4;spage=235;epage=241;aulast=Kalipatnapu
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AT prabhupremkumar superficialvenousthrombosissinglecenterexperienceandcurrentrecommendations
AT dheepakselvaraj superficialvenousthrombosissinglecenterexperienceandcurrentrecommendations
AT sunilagarwal superficialvenousthrombosissinglecenterexperienceandcurrentrecommendations