1993
DOI: 10.1161/01.cir.88.4.1730
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A simple ultrasound approach for detection of recurrent proximal-vein thrombosis.

Abstract: The serial ultrasound measurement of thrombus mass after an acute episode of DVT may allow the correct identification of patients who develop a recurrent proximal-vein thrombosis.

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Cited by 288 publications
(213 citation statements)
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“…Acute recurrent DVT was diagnosed if evidence of noncompressibility in a venous segment previously known to be free of disease or an increase in compressed venous diameter greater than 4 mm from baseline study were elicited [3].…”
Section: Diagnostic Proceduresmentioning
confidence: 99%
See 1 more Smart Citation
“…Acute recurrent DVT was diagnosed if evidence of noncompressibility in a venous segment previously known to be free of disease or an increase in compressed venous diameter greater than 4 mm from baseline study were elicited [3].…”
Section: Diagnostic Proceduresmentioning
confidence: 99%
“…In particular, compression venous ultrasound (CVU), which is the current mainstay of DVT diagnosis, can be problematic, since abnormalities (thickening and increased echogenicity of the vessel wall, resistance to compression) may be detected in up to 70% of patients despite no evidence of recurrent disease in the year following a DVT and even remain as a permanent sequel in an area of previous thrombus [3]. Additionally, recurrent thrombotic episodes have been advocated to be more likely in those cases in which CVU abnormalities persist several months after the initial episode [4].…”
Section: Introductionmentioning
confidence: 99%
“…Color duplex mapping has therefore expanded the possibilities for studying the natural history of DVT, because it makes it possible to conduct an unlimited number of sequential scans, thereby revealing patterns of events in the natural history of DVT that are different to what has been suggested in the past. Color duplex mapping also provides the possibility of using methods to quantify the recanalization process, such as the thrombotic score described by Porter et al 36 and the venous compressibility test using an ultrasound transducer described by Prandoni et al 37 . It can therefore be considered that color duplex mapping has become the new gold standard method in phlebology.…”
Section: Discussionmentioning
confidence: 99%
“…A recurrent DVT was diagnosed if a previously fully compressible segment (contralateral or ipsilateral) was no longer compressible or if an increase of at least 4 mm in the diameter of the residual thrombus during compression was detected [13]. A recurrent superficial vein thrombosis was diagnosed in the presence of extension, defined as proximal progression of the initial thrombus by at least 2 cm and to within 3 cm or less from the sapheno-femoral junction, or in the presence of a new thrombus located in a different superficial vein and not directly contiguous upstream with the index thrombus, or located in the same superficial vein, but separated from the index thrombus by at least 10 cm [14].…”
Section: Methodsmentioning
confidence: 99%