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Concomitant DVT or PE in patients with SVT at first presentation

Concomitant DVT or PE in patients with SVT at first presentation
Study POST[1] OPTIMEV[2] STEPH[3]
Setting Secondary/tertiary Secondary/tertiary Primary
Number of patients with SVT, number (%) 844 788 171
Concomitant DVT or PE, number (%)* 210 (24.9) 232 (29.4) 45 (26.3)
Concomitant DVT, number (%) 198 (23.5) 227 (28.8) 42 (24.6)
  • Proximal
82 20
  • Distal
114 128 (16.2) 23
  • Not contiguous to the SVT
83 19
Concomitant symptomatic PE, number (%) 33 (3.9) 54 (6.8)Δ 8 (4.7)

DVT: deep vein thrombosis; PE: pulmonary embolism; POST: Prospective Observational Superficial Thrombophlebitis; SVT: superficial vein thrombosis.

* Patients could have had more than one concomitant event. All events were confirmed by objective tests.

¶ DVT location was missing for 2 patients in POST and 12 in OPTIMEV. The number of patients with proximal DVT is not reported in the OPTIMEV publication and cannot be calculated due to the missing data on location.

Δ In 5 patients, no concomitant DVT was identified.
References:
  1. Decousus H, Quere I, Presles E, et al. Superficial venous thrombosis and venous thromboembolism: a large, prospective epidemiologic study. Ann Intern Med 2010; 152:218.
  2. Galanaud JP, Genty C, Sevestre MA, et al. Predictive factors for concurrent deep-vein thrombosis and symptomatic venous thromboembolic recurrence in case of superficial venous thrombosis. The OP-TIMEV study. Thromb Haemost 2011; 105:31.
  3. Frappe P, Buchmuller-Cordier A, Bertoletti L, et al. Annual diagnosis rate of superficial vein thrombosis of the lower limbs: the STEPH community-based study. J Thromb Haemost 2014; 12:831.

From: Décousus H, Bertoletti L, Frappé P. Spontaneous acute superficial vein thrombosis of the legs: do we really need to treat? J Thromb Haemost 2015; 13:S230. https://onlinelibrary.wiley.com/doi/10.1111/jth.12925. Copyright © 2015 International Society on Thrombosis and Haemostasis. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (https://onlinelibrary.wiley.com/).

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