Duplex ultrasound diagnosis of symptomatic proximal deep vein thrombosis of lower limbs

Quintavalla, Roberto; Larini, P; Miselli, A; Mandrioli, Roberto; Ugolotti, U; Pattacini, C.; Pini, M

doi:10.1016/0720-048x(92)90199-j

Cited by 37 publications

(15 citation statements)

References 20 publications

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“…Fig. 2b shows the D-dimer values with the highest areas under the generally used for DVT diagnosis; this technique has a sensitivity of 97-100% and a specificity of 98-99% for proximal thrombosis [24,25] but reduced accuracy for distal thrombosis (sensitivity, 70% and specificity, 60%) [12]. We found that 7 of the 19 patients with soCS exhibited DVT (37%), which was higher than a previously reported incidence [2].…”

Section: Study 1: Elevated D-dimer Levels Were Associated With Dvt Incontrasting

confidence: 42%

D-dimer as a significant marker of deep vein thrombosis in patients with subclinical or overt Cushing’s syndrome

et al. 2014

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Section: Study 1: Elevated D-dimer Levels Were Associated With Dvt Incontrasting

confidence: 42%

D-dimer as a significant marker of deep vein thrombosis in patients with subclinical or overt Cushing’s syndrome

et al. 2014

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“…It has been shown that although color duplex imaging may facilitate scanning of the calf veins, it does not increase the accuracy of VDUS in detecting lowerextremity DVTs. 8,40,41…”

Section: Discussionmentioning

confidence: 99%

Utility of lower-extremity duplex sonography in patients with venous thromboembolism

Fard

Mostaan

Anaraki

2001

J. Clin. Ultrasound

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Purpose We evaluated the utility of venous duplex ultrasonography (VDUS) of the lower extremities in patients with pulmonary embolism (PE) and studied the distribution of venous thrombi in deep vein thrombosis (DVT) patients with and without PE. Methods We retrospectively reviewed medical records of all inpatients with a final diagnosis of PE or DVT between 1989 and 2000. Results Venous thrombosis was detected by VDUS in 229 patients (191 without PE and 38 with PE). The left leg only was involved in 50% of patients (p < 0.05), the right leg only in 33%, and both legs in 17%. The overall distribution of veins affected by DVT was: popliteal vein, 77%; superficial femoral vein, 76%; common femoral vein, 65%; posterior tibial vein, 23%; external iliac vein, 21%; common iliac vein, 9%; great saphenous vein, 7%; and inferior vena cava, 2%. A single venous site was involved in 22% of patients. External iliac vein thrombosis was more frequent in patients with DVT only (24%) than with PE and DVT (5%) (p < 0.05). The venous obstruction was partial in 14% of patients. VDUS of the asymptomatic leg was positive in 14% of patients with unilateral symptoms of DVT, all of whom also had DVT in the symptomatic leg. VDUS was positive for DVT in 90% of patients with PE and concomitant pain or edema of the leg, compared to only 20% of PE patients with no symptoms of DVT. Conclusions Sonography should be the first diagnostic test for patients suspected of having PE with any sign or symptom related to DVT. VDUS of the asymptomatic leg is unnecessary in the diagnosis and management of DVT. Omitting the superficial femoral vein examination would lead to some decrease in the sensitivity of VDUS. © 2001 John Wiley & Sons, Inc. J Clin Ultrasound 29:92–98, 2001.

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“…Full compressibility of the femoral or popliteal vein or both excludes proximal DVT. Compared with venography, ultrasonography has a sensitivity of 97 to 100% and a specificity of 98 to 99% for the detection of proximal DVT [30,31]. Ultrasonography is, however, less accurate in diagnosing calf vein thrombosis.…”

Section: Diagnosismentioning

confidence: 99%

Venous thromboembolism in men and women

Kyrle

Eichinger

2005

The Journal of Men's Health & Gender

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Venous thromboembolism (VTE) is a frequent illness with an annual incidence of 0.1 to 0.2%. Over the last decades, a multitude of acquired and inherited risk factor of VTE has been identified. From the circumstantial risk factors, advancing age and male sex are the important ones. Male sex is not only a risk factor for a first episode of VTE but also confers a high risk of recurrence. Diagnostic and therapeutic strategies are not different between men and women. Venous thromboembolism is diagnosed by combining clinical assessment, measurement of D-dimer and imaging techniques, including ultrasonography and chest computed tomography. The mainstay of treatment for VTE is low-molecular-weight heparin which is given at a dose of 150-200 anti-factor Xa U/kg once-daily or 100 anti-factor Xa U/kg twice-daily. Thrombolysis confers a high bleeding risk and should be restricted to patients with limbthreatening thrombosis or massive pulmonary embolism. Long-term protection of recurrent VTE is achieved by treatment with vitamin K antagonists. The optimal duration of anticoagulation entails balancing the bleeding risk and the risk of recurrence after withdrawal of anticoagulation. ß 2005 WPMH GmbH. Published by Elsevier Ireland Ltd.

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Duplex ultrasound diagnosis of symptomatic proximal deep vein thrombosis of lower limbs

Cited by 37 publications

References 20 publications

D-dimer as a significant marker of deep vein thrombosis in patients with subclinical or overt Cushing’s syndrome

D-dimer as a significant marker of deep vein thrombosis in patients with subclinical or overt Cushing’s syndrome

Utility of lower-extremity duplex sonography in patients with venous thromboembolism

Venous thromboembolism in men and women

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