Abstract

BACKGROUND: Clinically unsuspected venous thromboembolic events (uVTE) detected during routine imaging pose a management challenge due to limited knowledge about their clinical significance. Unsuspected VTE are often referred as "asymptomatic", "incidental" or "clinically silent/occult" VTE.

OBJECTIVE: Understand the epidemiology, management, and outcomes of uVTE in children.

METHODS: A systematic review was performed according to PRISMA guidelines. The search criteria included controlled vocabulary and keywords for VTE, incidental findings, and children (ages ≤21 years).

RESULTS: Among 10,875 articles, 51 studies (7597 children with 758 uVTE) were selected. The studies were heterogeneous, I2 96%; p <.0001.

CONCLUSION: Clinically uVTE were predominantly diagnosed with CVL and their outcomes were generally favorable implying limited benefit of routine surveillance and thromboprophylaxis. Prospective research is needed to clarify the optimal management of iVTE.

PMID: 31984669 [PubMed - as supplied by publisher]

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pubmed: caandvteortroorpul

Tentorial Venous Anatomy: Cadaveric and Radiographic Study with Discussion of Origin and Surgical Significance.

//www.ncbi.nlm.nih.gov/corehtml/query/egifs/https:--linkinghub.elsevier.com-ihub-images-PubMedLink.gif Related Articles

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