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Deep vein thrombosis (DVT) is a vascular disease characterized by the formation of a thrombus within the venous system, mainly the lower limbs. The clot structure directly influences both its location, but also its progressive profile expansion material or regression and embolic migration.
Few data are available regarding the evolution of structural properties of thrombus after an acute episode of DVT. Thrombus formation is due to the polymerization of fibrinogen into fibrin. Fibrin is a viscoelastic polymer. Its mechanical properties directly determine how the thrombus responds to forces which it is subjected.
Determining the mechanical properties of the thrombus in vivo and ex vivo is expected to study its evolutionary properties.
The main objective of the study is to characterize the in vivo properties of elastographic thrombus in patients with proximal deep vein thrombosis (DVT), for quantitative elastography performed at D0, D7, D30.
The ability to analyze the structural properties of the thrombus should allow us to then correlate these properties to the evolving nature of the thrombus (embolic migration or not, recanalization or not), and the effect of different treatment on the evolution of the thrombus
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diagnosis of deep vein thrombosis | Experimental | All subjects with proximal DVT will have quantitative elastography SWIRE, thrombin generation test and rotational thromboelastometry test. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| elastography SWIRE | Radiation |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in in vivo elastographic properties of thrombus in patients with proximal deep vein thrombosis (DVT) through quantitative elastography | Day 0, Day 7, Day 30 |
| Measure | Description | Time Frame |
|---|---|---|
| Thrombus properties depending on the existence or absence of pulmonary embolism (PE) associated | Day 0, Day 7, Day 30 | |
| Thrombus properties if provoked versus unprovoked thrombosis | Day 0, Day 7, Day 30 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Gilles PERNOD | Contact | 00 334 767 657 17 | GPernod@chu-grenoble.fr |
| Name | Affiliation | Role |
|---|---|---|
| Gilles PERNOD | University Hospital, Grenoble | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Grenoble | Recruiting | Grenoble | France |
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| ID | Term |
|---|---|
| D020246 | Venous Thrombosis |
| D013927 | Thrombosis |
| ID | Term |
|---|---|
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Correlation of the thrombus in vivo properties to the thrombin generation capacity and viscoelastic properties tested ex vivo by rotational thromboelastometry | Day 0, Day 7, Day 30 |