Soleal vein dilatation in the early phase of hospitalization is associated with subsequent development of deep vein thrombosis in patients with acute stroke
Soleal vein dilatation in the early phase of hospitalization is associated with subsequent development of deep vein thrombosis in patients with acute stroke
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DOI：
10.1007/s10396-020-01075-x
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发表时间：
2021-01
影响因子：
1.8
通讯作者：
K. Soga;Takahiro Shimizu;Yuta Hagiwara;H. Ogura;H. Akiyama;J. Yamauchi;Tomoo Sato;K. Hanzawa;Y. Hasegawa;Y. Yamano
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文献类型：
--
作者：
K. Soga;Takahiro Shimizu;Yuta Hagiwara;H. Ogura;H. Akiyama;J. Yamauchi;Tomoo Sato;K. Hanzawa;Y. Hasegawa;Y. Yamano
PurposeTo评估作为一个新的发病的深静脉血栓形成（DVT）在急性脑卒中patients.MethodsA的121急性脑卒中患者入院48小时内进行了小腿静脉超声（CVUS）检查后7天内住院治疗的预测工具，比目鱼静脉（SOV）直径的有用性。评价了DVT的存在和风险因素，包括最大SOV直径。接下来，在第一次CVUS检查中未检测到DVT的患者在住院第21天接受了第二次CVUS检查，并评估是否存在新的DVT。结果121例患者中，有27例在第一次CVUS检查中检测到DVT。DVT的存在与可溶性纤维蛋白单体、D-二聚体和C-反应蛋白水平较高以及伴随癌症的发生率较高之间存在显著相关性。此外，94例首次CVUS检查时无DVT的患者中有50例接受了第二次CVUS检查。在94名患者中，44名被排除，因为他们在第21天出院。请注意，在接受第二次CVUS的50例患者中，有12例新发DVT。一个显着的关联被发现之间的存在新的DVT和中风的历史，红细胞压积水平，最大SOV直径在第一次examination.ConclusionIn我们的急性中风患者，SOV扩张，中风的历史，和红细胞压积水平升高的速度被发现与发展新的DVT的风险。
PurposeTo evaluate the usefulness of soleal vein (SOV) diameter as a predictor of new onset of deep vein thrombosis (DVT) in acute stroke patients.MethodsA total of 121 acute stroke patients who were admitted within 48 h of onset underwent a calf vein ultrasonography (CVUS) examination within 7 days after hospitalization. They were evaluated for the presence of DVT and risk factors including maximum SOV diameter. Next, the patients in whom DVT was not detected at the first CVUS examination underwent a second CVUS examination on the 21st hospital day, and were evaluated for the presence of new DVT.ResultsDVT was detected in 27 of 121 patients at the first CVUS examination. A significant association was noted between the presence of DVT and higher levels of soluble fibrin monomer, D-dimer, and C-reactive protein, and a higher rate of having cancer concomitantly. Furthermore, 50 of 94 patients without DVT at the first CVUS examination underwent a second CVUS examination. Of the 94 patients, 44 were excluded, because they were discharged by the 21st day. Note that DVT was newly developed in 12 of the 50 patients who underwent the second CVUS. A significant association was found between the presence of new DVT and the rate of history of stroke, hematocrit level, and maximum SOV diameter at the first examination.ConclusionIn our acute stroke patients, SOV dilation, history of stroke, and elevated hematocrit level were found to be associated with risk of developing a new DVT.