Table 3.
Anatomic Location, Etiology and Frequencies of Thrombi with Diagnostic Imaging
| Total visceral Thrombotic Events During Disease Course+ | N=153 | %(from total VTe) |
|---|---|---|
| Portal Vein Branch | N=69** | 45 |
| Main Vein | 41 | |
| Left Vein | 24 | |
| Right Vein | 29 | |
| Mesenteric Vein | N=41* | 26 |
| Superior vein | 36 | |
| Inferior vein | 5 | |
| Splenic Vein | N=26 | 17 |
| Hepatic | N=2 | 1 |
| Gonadal | N=12* | 8 |
| Righit | 5 | |
| Left | 9 | |
| Renal Vein | N=3* | 2 |
| Right | 3 | |
| Left | 0 | |
| Cavernous Transformation | 12 | 12 |
| Budd‒Chiari | 4 | 4 |
| Description of First Thrombi Diagnosed 1 | %(from N=95) | |
| Bland thrombus2 | 19 | 20 |
| Tumor Thrombus3 | 8 | 8 |
| Tumor occluding vein4 | 9 | 9 |
| Unable to Asses5 | 59 | 62 |
| Patients with ≥ 2 thromboses on first CT scan | N=29 | 30 |
| Synchronous thromboses with PDAC diagnosis | N=11 | 11 |
| Mean VT events per patient (range) | 1.6(1–4) |
| Frequencies of Subsequent Visceral Thromboses by Radiographic Diagnosis | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 1st | 2nd | 3rd | 4tn | Total | ||||||
| Vein Location | Thrombosis | Thrombosis | Thrombosis | Thrombosis | Thrombosis | |||||
| N=95 | % | N | % | N | % | N | % | N | % | |
| Portal Vein | 60 | 63 | 6 | 6 | 3 | 3 | 69 | 70 | ||
| Mesenteric Vein | 16 | 15 | 23 | 21 | 2 | 2 | 41 | 42 | ||
| Splenic Vein | 10 | 10 | 9 | 9 | 7 | 6 | 26 | 27 | ||
| Renal Vein | 3 | 2 | 1 | 3 | 3 | |||||
| Gonadal Vein | 5 | 4 | 6 | 3 | 1 | 1 | 12 | 12 | ||
| Hepatic Vein | 1 | 1 | 1 | 1 | 2 | 2 | ||||
| Total Subsequent | 45 | 47 | 12 | 13 | 1 | 1 | ||||
| Thromboses | ||||||||||
| Other Thromboses | ||||||||||
| DVT6 | 9 | 8 | 3 | 3 | 2 | 14 | 14 | |||
| PE7 | 5 | 5 | 5 | 5 | 2 | 12 | 12 | |||
Counted as a single thrombosis site
Some patients had more than one portal vein branch thrombosed
Patients had more than one vein thrombosed.
As per radiologist CT scans interpretation
Defined as a filling defect in an otherwise well-opacified vein
Tumor thrombus can be differentiated from bland thrombus through the presence of a contiguous adjacent mass and enhancement of a filling defect.
Thrombi were secondary to tumor occluding vein
Radiographically not sufficient to specify thrombi etiology
Deep vein thrombosis (DVT)
pulmonary embolism (PE)