Acute inferior vena cava thrombosis. Early results of heparin therapy.
OBJECTIVE
To determine, during heparin therapy, the embolic risk associated with acute inferior vena cava thrombosis compared with noncaval thrombosis.


METHODS
Prospective controlled study.


METHODS
University-affiliated general hospital.


METHODS
Of 68 consecutive patients considered, 18 with cavographically proved inferior vena cava thrombosis and 45 with phlebography-proved noncaval proximal thrombosis met all other eligibility criteria and completed the study.


METHODS
All patients received adjusted continuous IV heparin therapy for ten days.


RESULTS
All 63 patients underwent systematic baseline and "day 10" perfusion lung scanning and phlebocavography. None suffered pulmonary embolism within the ten days, but 11/63 patients showed thrombus extension on day 10 phlebocavograms. Retrospectively, no significant difference could be found between the groups with and without extension.


CONCLUSIONS
(a) The early embolic risk associated with heparin-treated venous thromboses appears low and does not seem to depend on the location (caval or more peripheral) of venous clots. (b) Thrombus extension may occur in spite of apparently "adequate" anticoagulation with heparin.
Girard
P
P
Service de Pneumologie et Réanimation, Université Paris-Sud, Hôpital Antoine Béclère, Clamart, France.
Hauuy
M P
MP
Musset
D
D
Simonneau
G
G
Petitpretz
P
P
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006493:Heparin / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000139:chemically induced / Q000209:etiology; D011859:Radiography; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging
D006493:Heparin