Keywords
Deep Vein Thrombosis (DVT); Hypercoagulable states; Lower extremity wound (ulcer); Post-thrombotic syndrome; Venous insufficiency Venous Thromboembolism (VTE); Compression therapy; Thrombolytic therapy
Abstract
Post-Thrombotic Syndrome (PTS) encompasses the signs and symptoms of the lower extremities that affect patients after Deep Vein Thrombosis (DVT). It is a difficult disease to manage and requires multiple avenues of prevention. Currently the benefit of thrombolysis for DVT is being investigated and along with compression therapy is one of our options for treatment to prevent the development of PTS, but even with the best of care it is not always effective. We report a case of a 37 year old male with multiple unprovoked episodes of iliofemoral DVT who underwent catheter directed thrombolysis, but was noncompliant with compression. He has an 11 year follow-up resulting in bilateral skin changes and ulceration in left limb.
Citation
Crawford JM, Gasparis A and Labropoulos N. Post-Thrombotic Syndrome: The Disabling Story of Deep Vein Thrombosis. SM Vasc Med. 2017; 2(1): 1012.