A Comparison of Compression Ultrasound With Color Doppler Ultrasound for the Diagnosis of Symptomless Postoperative Deep Vein Thrombosis

Lensing, Anthonie W. A.; Doris, C. Ian; McGrath, Frank P.; Cogo, Alberto; Sabine, Margaret; Ginsberg, JS; Prandoni, Paolo; Turpie, A. G. G.; Hirsh, Jack

doi:10.1001/archinte.1997.00440280085007

Cited by 110 publications

(29 citation statements)

References 26 publications

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“…Among patients with confirmed PEs, 15 to 50% presented with a DVT that was diagnosed by CDUS. The sensitivity decreases in asymptomatic patients 4,5 and is weak for the detection of pelvic DVT (from the external iliac vein to the inferior vena cava). Contrast venography, a more invasive test, detected DVT in 70 to 80% of patients with confirmed PEs.…”

mentioning

confidence: 99%

Detection of Pelvic Vein Thrombosis by Magnetic Resonance Angiography in Patients With Acute Pulmonary Embolism and Normal Lower Limb Compression Ultrasonography

Stern¹,

Abehsera²,

Grenet³

et al. 2002

Chest

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mentioning

confidence: 99%

Detection of Pelvic Vein Thrombosis by Magnetic Resonance Angiography in Patients With Acute Pulmonary Embolism and Normal Lower Limb Compression Ultrasonography

Stern¹,

Abehsera²,

Grenet³

et al. 2002

Chest

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“…In contrast to symptomatic patients, US procedures are not sufficient to screen patients without symptoms (e. g., in postoperative situations such as in hip surgery) [62,68]. It is assumed that the lower sensitivity in this group of patients is given by the higher percentage of isolated calf-vein thrombosis.…”

Section: Thrombosismentioning

confidence: 99%

Non-invasive vascular imaging of peripheral vessels

Reimer

Landwehr

1998

European Radiology

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The purpose of this review is to describe recent advances in non-invasive vascular imaging techniques and to discuss their current clinical applications for imaging of peripheral vessels. Principles for applying ultrasound, CT angiography (CTA), and magnetic resonance angiography (MRA) for non-invasive imaging of peripheral arteries and veins are presented. Clinical applications are reviewed for different vascular diseases, therapy planning, and follow-up studies. Conventional Doppler and color duplex sonography are the most cost-effective procedures to detect or rule out peripheral arterial occlusive disease (PAOD) and to provide specific recommendations for therapy. In the near future, contrast-enhanced MRA (CE MRA) with additional axial two-dimensional time-of-flight studies to search for non-anatomic runoff will replace diagnostic intra-arterial digital subtraction angiography (DSA) for planning of reconstructive surgery with acquisition slabs displaying projections similar to intra-arterial DSA. Color duplex sonography should also be the first non-invasive technique applied for the detection of peripheral aneurysms. Preoperative or preinterventional therapy planning of aneurysms may be performed by CTA or CE MRA. Compression ultrasound is the imaging procedure of choice in deep venous thrombosis (DVT). In the preoperative assessment of venous incompetence, color duplex sonography is the imaging technique which is sufficient in most cases.

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“…These figures are remarkably higher than those reported in studies using noninvasive methods to detect DVT. Sensitivity of real-time B-mode ultrasonography, alone or combined with Doppler, to overall postoperative DVT in major orthopedic surgery ranges from 47% to 55% (13,18,19). Surprisingly, results are not improved with color-Doppler techniques (19)(20)(21).…”

Section: Incidence Of Venous Thromboembolismmentioning

confidence: 99%

“…Sensitivity of real-time B-mode ultrasonography, alone or combined with Doppler, to overall postoperative DVT in major orthopedic surgery ranges from 47% to 55% (13,18,19). Surprisingly, results are not improved with color-Doppler techniques (19)(20)(21). A recent meta-analysis of studies assessing the accuracy of ultrasound screening for DVT in patients after orthopedic surgery has confirmed the disappointing sensitivity of venous ultrasound imaging for postoperative DVT, as shown by contrast venography (22).…”

Section: Incidence Of Venous Thromboembolismmentioning

confidence: 99%

State-of-the-Art Review : Prevention of Venous Thromboembolism in Major Orthopedic Surgery

Prandoni

Goldhaber

Piccioli

et al. 1996

Clin Appl Thromb Hemost

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Venous thromboembolism continues to be a major source of morbidity and mortality in both elective and traumatic orthopedic surgery. Prevention of this complication has received much attention in the orthopedic literature in recent years. We reviewed the relative efficacy and safety of various agents in the prophylaxis of venous thromboembolism arising after major orthopedic surgery. In patients undergoing total hip replacement, low-molecular-weight heparin in fixed doses, adjusted doses of warfarin, and unfractionated heparin in adjusted doses are the most effective prophylactic agents and are highly recommended for routine use. Low-molecularweight heparin or warfarin should be used in patients with hip fractures. Low-molecular-weight heparin, warfarin, or intermittent pneumatic compression should be used in patients undergoing major knee surgery. A number of questions still remain unanswered. In particular, further studies are needed to establish the optimal duration of prophylaxis.

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A Comparison of Compression Ultrasound With Color Doppler Ultrasound for the Diagnosis of Symptomless Postoperative Deep Vein Thrombosis

Cited by 110 publications

References 26 publications

Detection of Pelvic Vein Thrombosis by Magnetic Resonance Angiography in Patients With Acute Pulmonary Embolism and Normal Lower Limb Compression Ultrasonography

Detection of Pelvic Vein Thrombosis by Magnetic Resonance Angiography in Patients With Acute Pulmonary Embolism and Normal Lower Limb Compression Ultrasonography

Non-invasive vascular imaging of peripheral vessels

State-of-the-Art Review : Prevention of Venous Thromboembolism in Major Orthopedic Surgery

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