Association of deep venous thrombosis with calf vein diameter in acute hemorrhagic stroke

J Stroke Cerebrovasc Dis. 2013 Oct;22(7):1002-5. doi: 10.1016/j.jstrokecerebrovasdis.2012.02.009. Epub 2012 Mar 16.

Abstract

We investigated the association between the development of deep venous thrombosis (DVT) and calf vein diameter in patients with acute hemorrhagic stroke. We measured the maximum diameter of paralytic side posttibial veins (PTVs) and peroneal veins (PVs) in 49 patients with intracerebral hemorrhage on admission and at 2 weeks after stroke onset by ultrasonography. We also examined for the presence or absence of DVT, and then analyzed the association of DVT with the maximum vein diameter. At 2 weeks after stroke, DVTs were detected in PTVs in 7 patients and in PVs in 6 patients. The maximum calf vein diameters at 2 weeks were significantly greater in patients with DVT compared with those without DVT (PTV, P = .033; PV, P = .015). Although calf vein diameter at admission did not influence the future incidence of DVT in patients with intracerebral hemorrhage, the presence of DVT was associated with calf vein dilatation.

Keywords: Calf vein; deep venous thrombosis; diameter; intracerebral hemorrhage; ultrasonography.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Intracranial Hemorrhages / complications
  • Intracranial Hemorrhages / diagnostic imaging*
  • Leg / blood supply*
  • Male
  • Middle Aged
  • Stroke / complications
  • Stroke / diagnostic imaging*
  • Ultrasonography
  • Veins / diagnostic imaging*
  • Venous Thrombosis / complications
  • Venous Thrombosis / diagnostic imaging*