MDCalc

Villalta Score for Post-thrombotic Syndrome (PTS)

Stratifies severity of post-thrombotic syndrome in lower extremity DVT.

Use in patients with lower extremity DVT. Note: all symptoms and signs refer to the affected leg.

Symptoms

Pain
Cramps
Heaviness
Paresthesia
Pruritus

Clinical signs

Pretibial edema
Skin induration
Hyperpigmentation
Redness
Venous ectasia
Pain on calf compression
Venous ulcer
If venous ulcer is present and score is <15, then 15 points total are assigned (see Evidence)

Result:

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Management

  • May consider conservative treatment, e.g. elastic compression stockings (ECS), for mild to moderate PTS.

  • In patients with moderate to severe PTS uncontrolled with ECS alone, may consider intermittent compression devices or pneumatic compression sleeve units.

  • For lifestyle limiting refractory and/or severe PTS, may consider endovascular treatment.

Critical Actions

Clinical severity, multidisciplinary evaluation, and patient preference should guide management.