What is the major sonographic feature of partially recanalized skeletal scar tissue post thrombosis management?
Linear hyper-echogenic intra-luminal synaechal tissue.
Can post thrombotic skeletal scar tissues lead to defective venous valves?
What are the most common syndromic features that presents with post thrombotic skeletal scar tissues?
- Subcutaneous limb edema. - Venous varicosities. - Pain.
A gently undulating and hyper-reflective thick linear material is noted within the left common femoral vein with resultant intra-luminal compartmentalization and incomplete luminal coaptation on graded probe pressure application.
The synaechal web of the skeletal scar tissue (pointed with arrows) extends crania-caudally within the left common femoral vein and is unobstructive.
Attendant multiple left lower limb superficial subcutaneous venous varicosities (mostly arising from the mildly dilated left greater and the lesser saphenous veins) is noted and there is mild left leg subcutaneous tissue oedema regionally along the variceal lines ipsilaterally.