Signs and symptoms and scoring of children with PTS
CVC placement . | Initial US result . | Follow-up US result . | Abnormal use or pain . | Swelling . | Increased limb circumference* . | Collateral vessels . | Pain present . | MVS final score . | MJI final score . |
---|---|---|---|---|---|---|---|---|---|
Jugular right | WT | Not done | Yes† | Yes‡ | No | No | Yes† | 2 | 2 |
Thrombus | Normal | Yes† | No | No | No | Yes§ | 1 | 1 | |
Not done | Normal | No | Yes | Yes | No | No | 2 | 1 | |
Not done | Thrombus | || | Yes† | No | No | || | 1 | 2 | |
Normal | Normal | No | No | No | Yes | No | 1 | 1 | |
FS, WT | Normal | No | No | No | Yes | No | 1 | 1 | |
Thrombus | Normal | Yes | No | No | No | Yes | 1 | 1 | |
Femoral right | Thrombus, WT | Thrombus | Yes | No | No | No | Yes§ | 1 | 1 |
Thrombus | Thrombus | No | No | No | Yes | Yes§ | 1 | 2 | |
Jugular right | Not done | Normal | No | No | No | Yes | Yes† | 1 | 2 |
Femoral left | WT | WT | No | Yes | Yes | No | No | 2 | 2 |
Normal¶ | Thrombus | No | Yes | Yes | Yes | Yes | 3 | 3# | |
Thrombus | WT | Yes | No | Yes | Yes | Yes | 3 | 2# |
CVC placement . | Initial US result . | Follow-up US result . | Abnormal use or pain . | Swelling . | Increased limb circumference* . | Collateral vessels . | Pain present . | MVS final score . | MJI final score . |
---|---|---|---|---|---|---|---|---|---|
Jugular right | WT | Not done | Yes† | Yes‡ | No | No | Yes† | 2 | 2 |
Thrombus | Normal | Yes† | No | No | No | Yes§ | 1 | 1 | |
Not done | Normal | No | Yes | Yes | No | No | 2 | 1 | |
Not done | Thrombus | || | Yes† | No | No | || | 1 | 2 | |
Normal | Normal | No | No | No | Yes | No | 1 | 1 | |
FS, WT | Normal | No | No | No | Yes | No | 1 | 1 | |
Thrombus | Normal | Yes | No | No | No | Yes | 1 | 1 | |
Femoral right | Thrombus, WT | Thrombus | Yes | No | No | No | Yes§ | 1 | 1 |
Thrombus | Thrombus | No | No | No | Yes | Yes§ | 1 | 2 | |
Jugular right | Not done | Normal | No | No | No | Yes | Yes† | 1 | 2 |
Femoral left | WT | WT | No | Yes | Yes | No | No | 2 | 2 |
Normal¶ | Thrombus | No | Yes | Yes | Yes | Yes | 3 | 3# | |
Thrombus | WT | Yes | No | Yes | Yes | Yes | 3 | 2# |
FS, fibrin sheath; US, ultrasound; WT, wall thickening.
Proximal, >1 cm increase in affected extremity compared to contralateral side.
Related to underlying disease, postexercise.
Bilateral and related to underlying disease.
Bilateral pain postaerobic exercise.
Unable to assess pain due to developmental delay or age.
Patient developed symptomatic CVC-related thrombus 4 days postultrasound.
Clinically significant PTS as defined as a score of ≥1 on both the physical and functional scale.