Pediatric venous thromboembolism in relation to adults

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Pediatric venous thromboembolism in relation to adults Georgios Spentzouris, MD, Richard J. Scriven, MD, Thomas K. Lee, MD, Nicos Labropoulos, PhD, DIC, RVT Journal of Vascular Surgery Volume 55, Issue 6, Pages 1785-1793 (June 2012) DOI: 10.1016/j.jvs.2011.07.047 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Acute thrombosis of the common femoral vein in 2-year-old boy is demonstrated by cross-sectional imaging of the femoral vessels. A, The left panel shows a dilated common femoral vein with echolucent luminal material. The right panel shows that the common femoral vein is not compressible, despite the use pressure that reduced the common femoral artery diameter by half. B, The common femoral vein from the same patient is viewed with color imaging. The vein is dilated, contains echolucent material, and has absence of flow in contrast to normal flow in the adjacent common femoral artery. Journal of Vascular Surgery 2012 55, 1785-1793DOI: (10.1016/j.jvs.2011.07.047) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Chronic thrombosis of the common femoral vein is seen a year after it was diagnosed in a 4-month-old girl. Echogenic material is seen in the lumen of the partially recanalized vein. Irregular flow channels are seen through the old thrombus in the common femoral vein. Journal of Vascular Surgery 2012 55, 1785-1793DOI: (10.1016/j.jvs.2011.07.047) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Ultrasound imaging shows catheter-induced thrombosis in the left arm of a 13-year-old girl. A, Acute thrombosis of the basilic vein is seen around the catheter. No flow is seen in the dilated lumen, with the catheter being very bright in the center and the thrombus being echolucent around it. B, Acute thrombosis of the subclavian vein is seen in the same patient. The catheter is seen in the lumen with absence of flow in the vein. Journal of Vascular Surgery 2012 55, 1785-1793DOI: (10.1016/j.jvs.2011.07.047) Copyright © 2012 Society for Vascular Surgery Terms and Conditions