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The real incidence of the post-thrombotic syndrome (PTS) is not known precisely, though of the most part of the vailable studies, seems be deduced that it can be established a year after the deep venous thrombo- sis (DVT) acute of the inferior members in 17% to the 50% of the patients. Inseparably united to the venous hypertension that continues to the development of the incompetence valvular, is accompanied of a series of inflammatory reactions that include the increase in the permea- bility endothelial, the union of the circulating leukocytes at endothelium, the infiltration by monocytes, Iymphocytes and mastocytes of the connec- tive tissue, and the development of infiltrated tissular fibrotics and diffe- rent molecular markers. To the contrary that in the DVT, we know very little about the factors that increase the risk of suffering a PTS, since the only one identified up until now it is the recurrent DVT. Currently we have different scales standardized for their your clinical diagnosis, though the Echo-Doppler is, currently, the technique not invasive of election to detect, locate and evaluate the venous disability valvular and the venous obstruction chronicle. The modern technical of image: com- puted tomography (CT), magnetic resonance (MR) and isotopics have a prornising future, even though are found in validation phase. The phle- bothropics drugs are the therapeutic election strategy for the patients with PTS in those which is not indicated the surgery or in those which this is a assisting of the medical treatment. Finally, the deep venous sur- gery must be reserved for all those patients that suffer from venous insuf- ficiency serious chronicle, with meaningful venous reflux and ambula- tory venous hypertension.

Nuevos avances en el conocimiento del síndrome postrombótico