Post thrombotic Syndrome Godwin Tse LA-TRAP Winter 2011.

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Presentation transcript:

Post thrombotic Syndrome Godwin Tse LA-TRAP Winter 2011

What is post-thrombotic syndrome? Long-term complication of deep venous thrombosis (DVT) that is characterized by chronic, persistent pain, swelling and other signs in the affected limb Caused by damage to veins and valves

Signs and Symptoms Symptoms Heaviness Pain Swelling Itching Cramps Aching Symptoms worsen with activity and standing Signs Edema Eczema Hyperpigmentation Redness Secondary varicose veins Lipodermatoschlerosis (LDS) Venous Ulcers

DVT Post thombotic syndrome

Risk factors Age >65 Sex Location of DVT Recurrent DVT Lack of long-term anticoagulation Obesity

Prevention DVT Prophylaxis Optimal duration of anticoagulation After initial DVT: Prevention of recurrent DVT Compression stockings

Treatment Compression stockings/pump Elevation of extremity while resting Lifestyle changes Medications

PTS vs recurrent DVT Over 24h span (DVT): Dramatic onset of pain Persistent swelling Duplex ultrasound ▫May difficult to distinguish due to abnormalities still present in the venous segment

Social impact Costs ▫Increased medical costs ▫Lost of productivity at work/home Decreased quality of life

References ndrome.pdfhttp:// ndrome.pdf tic_syndrome/vereecken.htmlhttp://dermatology.cdlib.org/143/case_presentations/postthrombo tic_syndrome/vereecken.html boticsymdromehttp:// boticsymdrome