Factors Influencing Elastographically Determined Remodeling of Venous Thrombi.

Abstract

OBJECTIVES:

To verify whether elastographically determined remodeling of venous obliterating material formed during sclerotherapy is influenced by patient-specific factors.

METHODS:

The study included 60 patients who underwent sclerotherapy for venous insufficiency. Elastographic parameters of obliterating material, including relative vascular cross sections (percent) with the highest (red), intermediate (green), and lowest elasticity (blue), determined 7 ± 1, 14 ± 2, and 21 ± 2 days after sclerotherapy, were analyzed against the patients' ages, sexes, physical activity levels, and pain severities.

RESULTS:

The patients included 45 women and 15 men with a mean age ± SD of 51.2 ± 14.7 years. A significant correlation was observed between the age of the patients and the relative area of the vessel highlighted in red during the third control visit (R = 0.289; P = .025). The proportion of men in whom the elastographic structure of venous obliterating material during the second visit was classified as mixed was higher than that of women (66.7% versus 28.9%; P = .032). During the third visit, the proportion of patients with low physical activity in whom the elastographic structure of venous obliterating material was classified as fibrous turned out to be lower than the respective percentages of patients with moderate and high activity levels (12.0% versus 35.0% versus 46.7%; P = .045). However, none of these effects was observed systematically throughout the whole follow-up period.

CONCLUSIONS:

The time to complete organization of venous obliterating material may be longer in older patients, women, and patients with lower levels of physical activity, but these factors seem to influence the thrombus structure solely at specific time points in its evolution. Nevertheless, they should be considered during elastographic assessments of thrombus age.

• Authors: Łukasz Paluch, Żaneta Nitek, Katarzyna Sklinda, Jakub Zakrzewski, Jerzy Walecki, Bartłomiej Noszczyk
• Journal: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine (J Ultrasound Med) Vol. 38 Issue 10 Pg. 2643-2650 (Oct 2019) ISSN: 1550-9613 [Electronic] England
• PMID: 30719742 (Publication Type: Journal Article)
• Copyright: © 2019 by the American Institute of Ultrasound in Medicine.

Topics

• Elasticity Imaging Techniques (methods)
• Female
• Humans
• Male
• Middle Aged
• Sclerotherapy (methods)
• Treatment Outcome
• Venous Thrombosis (diagnostic imaging, therapy)