Haemodynamics of the postphlebitic syndrome.
The venous function has been assessed after deep vein thrombosis (DVT) by Doppler, strain gauge plethysmography (55 patients) and exercise plethysmography (10 patients) for a mean period of 63 weeks. Venous volume and venous outflow remain significantly lower throughout the study, whatever the site of thrombosis and the initial therapy (Heparin, local or general Urokinase). There are no significant correlations between clinical and functional parameters except for patients with proximal obstruction and popliteal valvular incompetence. Exercise plethysmography evaluates the importance of the calf pump in the postphlebitic syndrome. Static plethysmographic measurements prove to be unreliable for the long term prognosis whereas associated dynamic tests should be a better way to assess the haemodynamic changes after DVT and to control the efficiency of the prevention of the post-phlebitic syndrome.
Schmidt
C
C
Secteur d'Angiologie, Hôpital Central, Nancy, France.
Schmitt
J
J
Scheffmann
M
M
D000328:Adult; D005080:Exercise Test; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics / Q000187:drug effects; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D010991:Plethysmography; D011186:Postphlebitic Syndrome / Q000503:physiopathology* / Q000628:therapy; D013924:Thrombophlebitis / Q000503:physiopathology* / Q000628:therapy; D014463:Ultrasonography; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage; D014680:Veins / Q000503:physiopathology
D006493:Heparin; D014568:Urokinase-Type Plasminogen Activator