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A Practical Guide to Haemostasis


Post-Thrombotic Syndrome [PTS]:
Scoring Systems to Aid Diagnosis.

Introduction

The Post-Thrombotic Syndrome [PTS]is a chronic disorder and the commonest long-term complication following a Deep Vein Thrombosis [DVT]. It can lead to significant problems with a decreased quality of life and can occur in up to one-third of patients following a DVT.  The underlying pathophysiology is believed to be due to sustained venous hypertension arising from obstruction to venous flow in the vein and damage to the valves in the veins leading to valvular incompetence.

A number of risk assessment algorithms have been developed to help with the diagnosis and categorisation of PTS and of these the Villalta score is the most widely used.

The Villalta Score

The Villalta score is specific for PTS. It can be used to both diagnose and categorise the severity of the condition.

Click HERE to access the Villalta Score

 

Additional PTS Algorithms


A number of additional risk assessment algorithms have been developed to help with the diagnosis and stratification of patients with PTS.  A number of these are listed below.  For additional information see References 1 and 2.

The Ginsberg Measure


The Brandjes Scale


The Clinical Etiological Anatomical Pathological [CEAP] Classification


The Venous Clinical Severity Score [VCSS]