静脈学国際指標の日本語翻訳事業3—Villaltaスケール日本語版 血栓後症候群(post-thrombotic syndrome; PTS)の他指標との比較も含めて

血栓後症候群(post-thrombotic syndrome; PTS)は深部静脈血栓症後に発症する重要な慢性期合併症である.これまで幾つかのPTSの診断,重症度分類スケールが報告され,それらの信頼度は評価されてきている.これらの中で,現在最も広く受け入れられておりゴールドスタンダードに近いものとされているのがVillaltaスケールである.Ginsbergスコアなどと比較し,Villaltaスケールはその簡便性,他の評価スケールとの高い相関,高い評価者間信頼度により,すでに多くの臨床試験および長期コホート研究等で用いられている.しかしながらPTSは,血行動態が複雑で,臨床症状の程度が個々で...

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Published in静脈学 Vol. 32; no. 1; pp. 87 - 94
Main Authors 赤木, 大輔, 福田, 和歌子, 孟, 真, 細井, 温, 小川, 智弘, 八巻, 隆, 今井, 崇裕, 渡部, 芳子, 星野, 祐二
Format Journal Article
LanguageJapanese
Published 日本静脈学会 30.06.2021
Subjects
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ISSN0915-7395
2186-5523
DOI10.7134/phlebol.21-3

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Abstract 血栓後症候群(post-thrombotic syndrome; PTS)は深部静脈血栓症後に発症する重要な慢性期合併症である.これまで幾つかのPTSの診断,重症度分類スケールが報告され,それらの信頼度は評価されてきている.これらの中で,現在最も広く受け入れられておりゴールドスタンダードに近いものとされているのがVillaltaスケールである.Ginsbergスコアなどと比較し,Villaltaスケールはその簡便性,他の評価スケールとの高い相関,高い評価者間信頼度により,すでに多くの臨床試験および長期コホート研究等で用いられている.しかしながらPTSは,血行動態が複雑で,臨床症状の程度が個々で大きく異なるため,明確な基準を決定しにくい病態である.Villaltaスケール単独でPTSを評価するには限界があるという意見もある.日本静脈学会国際委員会ではVillaltaスケールの日本語訳を作成し,PTS評価の実際を報告する.
AbstractList 血栓後症候群(post-thrombotic syndrome; PTS)は深部静脈血栓症後に発症する重要な慢性期合併症である.これまで幾つかのPTSの診断,重症度分類スケールが報告され,それらの信頼度は評価されてきている.これらの中で,現在最も広く受け入れられておりゴールドスタンダードに近いものとされているのがVillaltaスケールである.Ginsbergスコアなどと比較し,Villaltaスケールはその簡便性,他の評価スケールとの高い相関,高い評価者間信頼度により,すでに多くの臨床試験および長期コホート研究等で用いられている.しかしながらPTSは,血行動態が複雑で,臨床症状の程度が個々で大きく異なるため,明確な基準を決定しにくい病態である.Villaltaスケール単独でPTSを評価するには限界があるという意見もある.日本静脈学会国際委員会ではVillaltaスケールの日本語訳を作成し,PTS評価の実際を報告する.
Author 福田, 和歌子
孟, 真
小川, 智弘
細井, 温
赤木, 大輔
今井, 崇裕
渡部, 芳子
星野, 祐二
八巻, 隆
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References 20) Roumen-Klappe EM, den Heijer M, van Rossum J, et al: Multilayer compression bandaging in the acute phase of deep-vein thrombosis has no effect on the development of the post-thrombotic syndrome. J Thromb Thrombolysis 2009; 27: 400–405
17) Kolbach DN, Neumann HA, Prins MH: Definition of the post-thrombotic syndrome, differences between existing classifications. Eur J Vasc Endovasc Surg 2005; 30: 404–414
13) Soosainathan A, Moore HM, Gohel MS, et al: Scoring systems for the post-thrombotic syndrome. J Vasc Surg 2013; 57: 254–261
26) Lattimer CR, Kalodiki E, Azzam M, et al: Validation of the Villalta scale in assessing post-thrombotic syndrome using clinical, duplex, and hemodynamic comparators. J Vasc Surg Venous Lymphat Disord 2014; 2: 8–14
2) Kahn SR, Shrier I, Julian JA, et al: Determinants and time course of the post-thrombotic syndrome after acute deep venous thrombosis. Ann Intern Med 2008; 149: 698–707
15) Jayaraj A, Meissner M: Impact of graduated compression stockings on the prevention of post-thrombotic syndrome-results of a randomized controlled trial. Phlebology 2015; 30: 541–548
29) Tick LW, Kramer MH, Rosendaal FR, et al: Risk factors for post-thrombotic syndrome in patients with a first deep venous thrombosis. J Thromb Haemost 2008; 6: 2075–2081
22) Lindow C, Mumme A, Asciutto G, et al: Long-term results after transfemoral venous thrombectomy for iliofemoral deep venous thrombosis. Eur J Vasc Endovasc Surg 2010; 40: 134–138
18) Kolbach DN, Sandbrink MWC, Neumann HAM, et al: Compression therapy for treating stage I and II (Widmer) post-thrombotic syndrome. Cochrane Database Syst Rev 2003; 4: CD004177
28) Dongen CJJ, Prandoni P, Frulla M, et al: Relation between quality of anticoagulant treatment and the development of the postthrombotic syndrome. J Thromb Haemost 2005; 3: 939–942
11) Ginsberg JS, Turkstra F, Buller HR, et al: Postthrombotic syndrome after hip or knee arthroplasty: a cross-sectional study. Arch Intern Med 2000; 160: 669–672
6) Brandjes DPM, Buller HR, Heijboer H, et al: Randomized trial of effect of compression stockings in patients with symptomatic proximal-vein thrombosis. Lancet 1997; 349: 759–762
30) Kahn SR, Ducruet T, Lamping DL, et al: Prospective evaluation of health-related quality of life in patients with deep venous thrombosis. Arch Intern Med 2005; 165: 1173–1178
37) Kahn SR: The post-thrombotic syndrome: progress and pitfalls. Br J Haematol 2006; 134: 357–365
7) Widmer LK, Staehelin HB, Nissen C, et al: Venen-, Arterien-, Krankheiten, koronare Herzkrankheit bei Berufstaetigen. Bern, 1981, Verlag Hans Huber
25) Kahn SR, Hirsch A, Shrier I: Effect of postthrombotic syndrome on health-related quality of life after deep venous thrombosis. Arch Intern Med 2002; 162: 1144–1148
33) Kahn SR, Shrier I, Shapiro S, et al: Six-month exercise training program to treat post-thrombotic syndrome: a randomized controlled two centre trial. CMAJ 2011; 183: 37–44
1) Prandoni P, Lensing A, Cogo A, et al: The long-term clinical course of acute deep venous thrombosis. Ann Intern Med 1996; 125: 1–7
10) Kahn SR, Shbaklo H, Lamping DL, et al: Determinants of health-related quality of life during the 2 years following deep vein thrombosis. J Thromb Haemost 2008; 6: 1105–1112
9) Rutherford RB, Padberg FT Jr., Comerota AJ, et al: Venous severity scoring: an adjunct to venous outcome assessment. J Vasc Surg 2000; 31: 1307–1312
39) Maleti O, Perrin M: Reconstructive surgery for deep vein reflux in the lower limbs: techniques, results and indications. Eur J Vasc Endovasc Surg 2011; 41: 837–848
19) Roumen-Klappe EM, Janssen MC, Van Rossum J, et al: Inflammation in deep vein thrombosis and the development of post-thrombotic syndrome: a prospective study. J Thromb Haemost 2009; 7: 582–587
16) Goldenberg NA, Donadini MP, Kahn SR, et al: Post-thrombotic syndrome in children: a systematic review of frequency of occurrence, validity of outcome measures, and prognostic factors. Haematologica 2010; 95: 1952–1959
36) Engeseth M, Enden T, Andersen MH, et al: Does the Villalta scale capture the essence of postthrombotic syndrome? A qualitative study of patient experience and expert opinion. J Thromb Haemost 2019; 17: 1707–1714
8) Porter JM, Moneta GL; An International Consensus Committee on Chronic Venous Disease: Reporting standards in venous disease: an update. J Vasc Surg 1995; 21: 635–645
34) O’Donnell MJ, McRae S, Kahn SR, et al: Evaluation of a venous-return assist device to treat severe post-thrombotic syndrome (VENOPTS). A randomized controlled trial. Thromb Haemost 2008; 99: 623–629
38) Perrin M: La chirurgie des reflux veineux profonds des membres inferieurs: surgery for deep venous reflux in the lower limb. J Mal Vasc 2004; 29: 73–87
23) Wahlgren CM, Wahlberg E, Olofsson P: Endovascular treatment in postthrombotic syndrome. Vasc Endovascular Surg 2010; 44: 356–360
24) Wik HS, Ghanima W, Sandset PM, et al: Scoring systems for postthrombotic syndrome. Semin Thromb Hemost 2017; 43: 500–504
32) Prandoni P, Villalta S, Bagatella P, et al: The clinical course of deep-vein thrombosis. Prospective long-term follow-up of 528 symptomatic patients. Haematologica 1997; 82: 423–428
3) Kahn SR, Partsch H, Vedantham S, et al; Subcommittee on Control of Anticoagulation of the Scientific and Standardization Committee of the International Society on Thrombosis and Haemostasis: Definition of post-thrombotic syndrome of the leg for use in clinical investigations: a recommendation for standardisation. J Thromb Haemost 2009; 7: 879–883
14) Kahn SR, Desmarais S, Ducruet T, et al: Comparison of the Villalta and Ginsberg clinical scales to diagnose the post-thrombotic syndrome: correlation with patient-reported disease burden and venous valvular reflux. J Thromb Haemost 2006; 4: 907–908
35) Prandoni P: Elastic stockings, hydroxyethylrutosides or both for the treatment of post-thrombotic syndrome. Thromb Haemost 2005; 93: 183–185
5) Ginsberg JS, Hirsh J, Julian J, et al: Prevention and treatment of postphlebitic syndrome: results of a 3-part study. Arch Intern Med 2001; 161: 2105–2109
27) Rodger MA, Kahn SR, Le Gal G, et al: Inter-observer reliability of measures to assess the post-thrombotic syndrome. Thromb Haemost 2008; 100: 164–166
40) Prandoni P, Lensing A, Prins M, et al: Which is the outcome of the post-thrombotic syndrome? Thromb Haemost 1999; 82: 1358
12) Kahn SR, Shapiro S, Wells PS, et al; SOX trial investigators: Compression stockings to prevent post-thrombotic syndrome: a randomised placebo-controlled trial. Lancet 2014; 383: 880–888
21) Haenen JH, Janssen MC, van Langen H, et al: The postthrombotic syndrome in relation to venous hemodynamics, as measured by means of duplex scanning and strain-gauge plethysmography. J Vasc Surg 1999; 29: 1071–1076
4) Villalta S, Bagatella P, Piccioli A, et al: Assessment of validity and reproducibility of a clinical scale for the post-thrombotic syndrome (abstract). Haemostasis 1994; 24: 158a
31) Kahn SR, Kearon C, Julian JA, et al; Extended Low-intensity Anticoagulation for Thrombo-embolism (ELATE) Investigators: Predictors of the post-thrombotic syndrome during long-term treatment of proximal deep vein thrombosis. J Thromb Haemost 2005; 3: 718–723
References_xml – reference: 9) Rutherford RB, Padberg FT Jr., Comerota AJ, et al: Venous severity scoring: an adjunct to venous outcome assessment. J Vasc Surg 2000; 31: 1307–1312
– reference: 23) Wahlgren CM, Wahlberg E, Olofsson P: Endovascular treatment in postthrombotic syndrome. Vasc Endovascular Surg 2010; 44: 356–360
– reference: 4) Villalta S, Bagatella P, Piccioli A, et al: Assessment of validity and reproducibility of a clinical scale for the post-thrombotic syndrome (abstract). Haemostasis 1994; 24: 158a,
– reference: 39) Maleti O, Perrin M: Reconstructive surgery for deep vein reflux in the lower limbs: techniques, results and indications. Eur J Vasc Endovasc Surg 2011; 41: 837–848
– reference: 40) Prandoni P, Lensing A, Prins M, et al: Which is the outcome of the post-thrombotic syndrome? Thromb Haemost 1999; 82: 1358
– reference: 10) Kahn SR, Shbaklo H, Lamping DL, et al: Determinants of health-related quality of life during the 2 years following deep vein thrombosis. J Thromb Haemost 2008; 6: 1105–1112
– reference: 1) Prandoni P, Lensing A, Cogo A, et al: The long-term clinical course of acute deep venous thrombosis. Ann Intern Med 1996; 125: 1–7
– reference: 20) Roumen-Klappe EM, den Heijer M, van Rossum J, et al: Multilayer compression bandaging in the acute phase of deep-vein thrombosis has no effect on the development of the post-thrombotic syndrome. J Thromb Thrombolysis 2009; 27: 400–405
– reference: 30) Kahn SR, Ducruet T, Lamping DL, et al: Prospective evaluation of health-related quality of life in patients with deep venous thrombosis. Arch Intern Med 2005; 165: 1173–1178
– reference: 13) Soosainathan A, Moore HM, Gohel MS, et al: Scoring systems for the post-thrombotic syndrome. J Vasc Surg 2013; 57: 254–261
– reference: 24) Wik HS, Ghanima W, Sandset PM, et al: Scoring systems for postthrombotic syndrome. Semin Thromb Hemost 2017; 43: 500–504
– reference: 12) Kahn SR, Shapiro S, Wells PS, et al; SOX trial investigators: Compression stockings to prevent post-thrombotic syndrome: a randomised placebo-controlled trial. Lancet 2014; 383: 880–888
– reference: 16) Goldenberg NA, Donadini MP, Kahn SR, et al: Post-thrombotic syndrome in children: a systematic review of frequency of occurrence, validity of outcome measures, and prognostic factors. Haematologica 2010; 95: 1952–1959
– reference: 33) Kahn SR, Shrier I, Shapiro S, et al: Six-month exercise training program to treat post-thrombotic syndrome: a randomized controlled two centre trial. CMAJ 2011; 183: 37–44
– reference: 19) Roumen-Klappe EM, Janssen MC, Van Rossum J, et al: Inflammation in deep vein thrombosis and the development of post-thrombotic syndrome: a prospective study. J Thromb Haemost 2009; 7: 582–587
– reference: 22) Lindow C, Mumme A, Asciutto G, et al: Long-term results after transfemoral venous thrombectomy for iliofemoral deep venous thrombosis. Eur J Vasc Endovasc Surg 2010; 40: 134–138
– reference: 18) Kolbach DN, Sandbrink MWC, Neumann HAM, et al: Compression therapy for treating stage I and II (Widmer) post-thrombotic syndrome. Cochrane Database Syst Rev 2003; 4: CD004177
– reference: 26) Lattimer CR, Kalodiki E, Azzam M, et al: Validation of the Villalta scale in assessing post-thrombotic syndrome using clinical, duplex, and hemodynamic comparators. J Vasc Surg Venous Lymphat Disord 2014; 2: 8–14
– reference: 5) Ginsberg JS, Hirsh J, Julian J, et al: Prevention and treatment of postphlebitic syndrome: results of a 3-part study. Arch Intern Med 2001; 161: 2105–2109
– reference: 8) Porter JM, Moneta GL; An International Consensus Committee on Chronic Venous Disease: Reporting standards in venous disease: an update. J Vasc Surg 1995; 21: 635–645
– reference: 14) Kahn SR, Desmarais S, Ducruet T, et al: Comparison of the Villalta and Ginsberg clinical scales to diagnose the post-thrombotic syndrome: correlation with patient-reported disease burden and venous valvular reflux. J Thromb Haemost 2006; 4: 907–908
– reference: 37) Kahn SR: The post-thrombotic syndrome: progress and pitfalls. Br J Haematol 2006; 134: 357–365
– reference: 2) Kahn SR, Shrier I, Julian JA, et al: Determinants and time course of the post-thrombotic syndrome after acute deep venous thrombosis. Ann Intern Med 2008; 149: 698–707
– reference: 28) Dongen CJJ, Prandoni P, Frulla M, et al: Relation between quality of anticoagulant treatment and the development of the postthrombotic syndrome. J Thromb Haemost 2005; 3: 939–942
– reference: 21) Haenen JH, Janssen MC, van Langen H, et al: The postthrombotic syndrome in relation to venous hemodynamics, as measured by means of duplex scanning and strain-gauge plethysmography. J Vasc Surg 1999; 29: 1071–1076
– reference: 6) Brandjes DPM, Buller HR, Heijboer H, et al: Randomized trial of effect of compression stockings in patients with symptomatic proximal-vein thrombosis. Lancet 1997; 349: 759–762
– reference: 35) Prandoni P: Elastic stockings, hydroxyethylrutosides or both for the treatment of post-thrombotic syndrome. Thromb Haemost 2005; 93: 183–185
– reference: 11) Ginsberg JS, Turkstra F, Buller HR, et al: Postthrombotic syndrome after hip or knee arthroplasty: a cross-sectional study. Arch Intern Med 2000; 160: 669–672
– reference: 17) Kolbach DN, Neumann HA, Prins MH: Definition of the post-thrombotic syndrome, differences between existing classifications. Eur J Vasc Endovasc Surg 2005; 30: 404–414
– reference: 34) O’Donnell MJ, McRae S, Kahn SR, et al: Evaluation of a venous-return assist device to treat severe post-thrombotic syndrome (VENOPTS). A randomized controlled trial. Thromb Haemost 2008; 99: 623–629
– reference: 3) Kahn SR, Partsch H, Vedantham S, et al; Subcommittee on Control of Anticoagulation of the Scientific and Standardization Committee of the International Society on Thrombosis and Haemostasis: Definition of post-thrombotic syndrome of the leg for use in clinical investigations: a recommendation for standardisation. J Thromb Haemost 2009; 7: 879–883
– reference: 27) Rodger MA, Kahn SR, Le Gal G, et al: Inter-observer reliability of measures to assess the post-thrombotic syndrome. Thromb Haemost 2008; 100: 164–166
– reference: 36) Engeseth M, Enden T, Andersen MH, et al: Does the Villalta scale capture the essence of postthrombotic syndrome? A qualitative study of patient experience and expert opinion. J Thromb Haemost 2019; 17: 1707–1714
– reference: 38) Perrin M: La chirurgie des reflux veineux profonds des membres inferieurs: surgery for deep venous reflux in the lower limb. J Mal Vasc 2004; 29: 73–87
– reference: 25) Kahn SR, Hirsch A, Shrier I: Effect of postthrombotic syndrome on health-related quality of life after deep venous thrombosis. Arch Intern Med 2002; 162: 1144–1148
– reference: 31) Kahn SR, Kearon C, Julian JA, et al; Extended Low-intensity Anticoagulation for Thrombo-embolism (ELATE) Investigators: Predictors of the post-thrombotic syndrome during long-term treatment of proximal deep vein thrombosis. J Thromb Haemost 2005; 3: 718–723
– reference: 32) Prandoni P, Villalta S, Bagatella P, et al: The clinical course of deep-vein thrombosis. Prospective long-term follow-up of 528 symptomatic patients. Haematologica 1997; 82: 423–428
– reference: 15) Jayaraj A, Meissner M: Impact of graduated compression stockings on the prevention of post-thrombotic syndrome-results of a randomized controlled trial. Phlebology 2015; 30: 541–548
– reference: 29) Tick LW, Kramer MH, Rosendaal FR, et al: Risk factors for post-thrombotic syndrome in patients with a first deep venous thrombosis. J Thromb Haemost 2008; 6: 2075–2081
– reference: 7) Widmer LK, Staehelin HB, Nissen C, et al: Venen-, Arterien-, Krankheiten, koronare Herzkrankheit bei Berufstaetigen. Bern, 1981, Verlag Hans Huber
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深部静脈血栓症
血栓後症候群
Title 静脈学国際指標の日本語翻訳事業3—Villaltaスケール日本語版 血栓後症候群(post-thrombotic syndrome; PTS)の他指標との比較も含めて
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ispartofPNX 静脈学, 2021/06/30, Vol.32(1), pp.87-94
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