Veneuze Trombose II: Klinische Manifestaties en Diagnostische Onderzoeken

The clinical manifestations of superficial vein thrombosis, or SVT, present with localized pain, tenderness, and redness along the course of an affected superficial vein, often accompanied by a palpable, cord-like structure under the skin.

DVT, on the other hand, can be asymptomatic or manifest with unilateral leg edema, pain, tenderness upon palpation, dilated superficial veins, a sense of fullness in the calf or thigh, warm skin, paresthesias, and redness.

Diagnostic findings for venous thrombosis include laboratory tests indicating thrombus formation, such as increased fibrin monomer complexes, elevated D-dimer levels, and altered PT, aPTT, and INR, depending on underlying blood dyscrasias.

Noninvasive imaging studies, primarily duplex ultrasound, assess vein compressibility and intraluminal filling defects.

Invasive imaging studies include computed tomography venography with contrast to evaluate the pelvis, thigh, and calf veins and magnetic resonance venography to assess blood flow through veins.