Professional Documents
Culture Documents
+oleksandr Chaika Theme 17 Postthrombophlebetic Syndrome.
+oleksandr Chaika Theme 17 Postthrombophlebetic Syndrome.
+oleksandr Chaika Theme 17 Postthrombophlebetic Syndrome.
University
Assistant Professor, PhD,
Oleksandr Chaika
DVТ Post thombotic s y n d r o m e
Risk factors
• Age >65
• Sex
• Location of DVГ
• Recurrent DVГ
• Lack of long-term anticoagulation
• Obesity
Normal Damage VЭl'l'eВесоmез L.egPaii'I,Sw.ellin
В:lood 1о Les Leaky,AIIO'Мn9 g anclRedne
F1ow Veif15 Fluio to м
PassThrough
D
С --
PTS vs recurrent
DVT
Over 24h span (DVТ):
• Dramatic onset of pain
• Persistent swelling
• Duplex ultrasound
0
Мау difficult to distinguish due to abnormalities
still present in the venous segment
Venous thromЬos,s
l
I 1
Recanalization Outflow obslruction
l
Venous hypertension
1
I
Telangiectas,ae
Venous ectas,a Cap,Uary leakage
Edema
Hyperp,gmentat,on
llpodermatoscleros,s
Ulcerahon
What is post-thrombotic
syndrome?
• Long-term complication of deep venous
thrombosis (DVТ) that is characterized Ьу
chronic, persistent pain, swelling and other signs
in the affected limb
• Caused Ьу damage to veins and valves
Signs and
Symptoms
Signs Symptoms
• Edema • Heaviness
• Eczema • Pain
• Hyperpigmentation • Swelling
• Redness • Itching
• Secondary varicose veins • Cramps
• Lipodermatoschlerosis • Aching
(LDS) • Symptoms worsen
• Venous Ulcers with
activity and standing
Prevention
• DVТ Prophylaxis
• Optimal duration of anticoagulation