Lower extremity deep vein thrombosis in children
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Of 113 leg venograms performed in patients of all ages between 1969 and 1982, 68 were in children 16 years old or less. The patients were all studied on a tilt table (method of Rabinov and Paulin) in a head-up, 40–50° incline without tourniquets, supporting their weight on the unaffected leg. Among the 68 venograms, 12 (18%) were positive for deep vein thrombosis. The clinical settings for thrombosis in children were post-catheterization (two patients), post surgery (two), tumor/tumor therapy (three), drug abuse (one), infection (one), and idiopathic (three). There were no long-term clinical sequelae in five patients. Pulmonary infarction occurred in three, and three patients required either long-term anticoagulation or IVC clipping. Clinical diagnosis is no more accurate for the diagnosis of deep vein thrombosis in children than it is in adults. Venography is the best method for making an accurate diagnosis and directing subsequent therapy.
Key WordsVenogram Lower extremity deep vein thrombosis
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- 4.Horwitz J, Shenker R (1977) Spontaneous deep vein thrombosis in adolescence. Clin Pediatr 16: 787Google Scholar
- 10.Nicolaides AN (1978) Diagnosis of venous thrombosis by phlebography. In: Bergan JJ, Yad JST (eds) Venous problems. Year Book Medical Publishers, Chicago, p 123Google Scholar
- 11.Nissl R (1979) Acute thrombosis. In: May R (ed) Surgery of the veins of the leg and pelvis. WB Saunders, Philadelphia, p 96Google Scholar
- 12.Welch CE, Faxon HH (1941) Thrombophlebitis and pulmonary embolism. JAMA 117: 1502Google Scholar
- 13.Hull R, Van Acken WG (1976) Impedence plethysmography using the occlusive cuff technique in the diagnosis is of venous thrombosis. Circulation 52: 696Google Scholar