PURPOSE F-FDG PET has been used for vascular disease, but its role in deep vein thrombosis (DVT) remains prospectively unexplored. PATIENTS AND METHODS Whole-body F-FDG PET/CT scans were performed in patients 1 to 10 weeks after onset of symptomatic DVT (n = 12) and in control subjects without DVT (n = 24). The metabolic activity (SUVmax) of thrombosed and contralateral nonthrombosed vein seg...

Deep venous thrombosis (DVT) is a serious illness sometimes causing death due to acute pulmonary thromboembolism (PTE). Blood stasis of the pelvic vein is a major etiologic factor for DVT. Occasionally a large myomatous uterus can cause compression of the pelvic venous system leading to DVT. We describe a very rare case of massive pulmonary embolism in a 39-year-old woman with multiple uterine ...

Iliofemoral acute deep venous thrombosis (DVT) poses increased risk for post-thrombotic syndrome. Absent inferior vena cava (IVC) syndrome is a rare vascular anomaly that can be associated with idiopathic DVT in the young patient. It remains unclear whether endovenous thrombolytic intervention for DVT in patients with absent IVC can be successful, given the impaired venous outflow. This case re...

INTRODUCTION Venous thromboembolism (VTE) is perceived to be rare in Asia, but our recent clinical experience at Singapore General Hospital (SGH) suggests otherwise. Between 1996 and 1997, there were 388 cases of confirmed deep vein thrombosis (DVT). MATERIALS AND METHODS All patients with symptomatic DVT confirmed by duplex ultrasound studies from January 1996 to December 1997 were retrospec...

Management of acute deep vein thrombosis (DVT) is within the scope of primary care physicians. When indicated, treatment is essential to prevent life-threatening pulmonary embolism (PE). Parenteral anticoagulation followed by warfarin has been considered the standard of care. Four pivotal trials have established a role for direct oral anticoagulants (DOACs) in acute treatment of DVT. Dabigatran...

BACKGROUND Immobile stroke patients are at high risk of deep vein thrombosis (DVT). Demographic studies suggest a low incidence of DVT in Asian patients, but that might be underestimated. OBJECTIVE Intervention by in-hospital case management for diagnosis of DVT in patients with acute stroke. PATIENTS AND METHODS Intervention was defined as: recommendation of D-dimer test for patients who a...

Making a diagnosis of deep vein thrombosis (DVT) requires both clinical assessment and objective testing because the clinical features are nonspecific and investigations can be either falsely positive or negative. The initial step in the diagnostic process is to stratify patients into high-, intermediate-, or low-risk categories using a validated clinical model. When the clinical probability is...

BACKGROUND Factor V Leiden (FVL) supposedly carries relatively higher risk of deep vein thrombosis (DVT), compared to the risk of pulmonary embolism (PE). AIM To prove this paradox in a group of patients with various clinical presentation of venous thromboembolism (VTE). MATERIALS AND METHODS We retrospectively evaluated clinical pattern of VTE in patients who had been referred to vascular ...

Deep vein thrombosis (DVT) is not a rare disease. General incidence of DVT is 0.2% of urban population per 1 year. It is very rare in the population of younger than 15 years-old. Older persons have higher incidence of DVT, 1.8 event will occur 1,000 person-year in 65 ~ 69 years-old, and 3.1 on 85 ~ 89 years-old people. One of important complication of DVT, especially in proximal (iliofemoral) D...