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Long-term mortality in patients with thrombosis of the inferior vena cava, iliac and femoral veins.
Eur J Vasc Endovasc Surg. 2006 Feb; 31(2):200-3.EJ

Abstract

OBJECTIVES

To assess the long-term mortality in patients with thrombosis of the vena cava, iliac and femoral veins.

DESIGN

Registry study.

MATERIALS

Between 1992 and 2000, 212 consecutive patients with acute pelvic vein thrombosis diagnosed by duplex sonography were examined by magnetic resonance imaging (MRI) to determine the most proximal extent of the thrombus. MRI revealed a thrombosis in the inferior vena cava in 46 patients (22%), in the iliac vein in 142 patients (67%), and in the femoral vein in 24 patients (11%).

METHODS

The vital status of the patients was investigated in April 2004 using the Austrian National Registry and the Cause of Death Register.

RESULTS

A total of 211 patients of the original 212 patients were monitored over a mean follow-up period of 91 months. Seventy-two of 211 patients (34%) had died. There was no significant difference in the long-term mortality, the survival period or the occurrence of fatal pulmonary embolism (PE) between previously diagnosed vena cava, iliac vein, or femoral vein thrombosis.

CONCLUSIONS

Extension of a thrombus into the inferior caval vein in patients considered to have a pelvic vein thrombosis has no impact on long-term mortality or the development of fatal PE compared to those patients with thrombus limited to more distal veins.

Authors+Show Affiliations

Fink AM
Department of Dermatology, Wilhelminenspital, Montleartstr. 37, 1160 Vienna, Austria. astrid.fink@weinkav.at
Herzog N
No affiliation info available
Borst-Krafek B
No affiliation info available
Jurecka W
No affiliation info available
Steiner A
No affiliation info available

MeSH

Acute DiseaseAdultAgedAged, 80 and overAnticoagulantsCause of DeathFemaleFemoral VeinFollow-Up StudiesHumansIliac VeinMagnetic Resonance ImagingMaleMiddle AgedUltrasonography, Doppler, DuplexVena Cava, InferiorVenous Thrombosis

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16125982

Citation

Fink, A M., et al. "Long-term Mortality in Patients With Thrombosis of the Inferior Vena Cava, Iliac and Femoral Veins." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 31, no. 2, 2006, pp. 200-3.
Fink AM, Herzog N, Borst-Krafek B, et al. Long-term mortality in patients with thrombosis of the inferior vena cava, iliac and femoral veins. Eur J Vasc Endovasc Surg. 2006;31(2):200-3.
Fink, A. M., Herzog, N., Borst-Krafek, B., Jurecka, W., & Steiner, A. (2006). Long-term mortality in patients with thrombosis of the inferior vena cava, iliac and femoral veins. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 31(2), 200-3.
Fink AM, et al. Long-term Mortality in Patients With Thrombosis of the Inferior Vena Cava, Iliac and Femoral Veins. Eur J Vasc Endovasc Surg. 2006;31(2):200-3. PubMed PMID: 16125982.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term mortality in patients with thrombosis of the inferior vena cava, iliac and femoral veins. AU - Fink,A M, AU - Herzog,N, AU - Borst-Krafek,B, AU - Jurecka,W, AU - Steiner,A, Y1 - 2005/08/25/ PY - 2005/04/05/received PY - 2005/07/03/accepted PY - 2005/8/30/pubmed PY - 2006/2/28/medline PY - 2005/8/30/entrez SP - 200 EP - 3 JF - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery JO - Eur J Vasc Endovasc Surg VL - 31 IS - 2 N2 - OBJECTIVES: To assess the long-term mortality in patients with thrombosis of the vena cava, iliac and femoral veins. DESIGN: Registry study. MATERIALS: Between 1992 and 2000, 212 consecutive patients with acute pelvic vein thrombosis diagnosed by duplex sonography were examined by magnetic resonance imaging (MRI) to determine the most proximal extent of the thrombus. MRI revealed a thrombosis in the inferior vena cava in 46 patients (22%), in the iliac vein in 142 patients (67%), and in the femoral vein in 24 patients (11%). METHODS: The vital status of the patients was investigated in April 2004 using the Austrian National Registry and the Cause of Death Register. RESULTS: A total of 211 patients of the original 212 patients were monitored over a mean follow-up period of 91 months. Seventy-two of 211 patients (34%) had died. There was no significant difference in the long-term mortality, the survival period or the occurrence of fatal pulmonary embolism (PE) between previously diagnosed vena cava, iliac vein, or femoral vein thrombosis. CONCLUSIONS: Extension of a thrombus into the inferior caval vein in patients considered to have a pelvic vein thrombosis has no impact on long-term mortality or the development of fatal PE compared to those patients with thrombus limited to more distal veins. SN - 1078-5884 UR - https://www.unboundmedicine.com/medline/citation/16125982/Long_term_mortality_in_patients_with_thrombosis_of_the_inferior_vena_cava_iliac_and_femoral_veins_ DB - PRIME DP - Unbound Medicine ER -