Advanced imaging in acute and chronic deep vein thrombosis

Karande, Gita Yashwantrao; Hedgire, Sandeep; Sánchez, Yadiel; Baliyan, Vinit; Mishra, Vishala; Ganguli, Suvranu; Prabhakar, Anand M.

doi:10.21037/cdt.2016.12.06

Cited by 96 publications

(115 citation statements)

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“…Although the gold standard for detection of DVT, this method is rarely practiced outside of expert centers where it is often used in the context of intervention. 1,2 This is in large part due to the myriad of non-invasive imaging techniques which are now widely available, and in particular, the use of ultrasound in the diagnosis of DVT.…”

Section: Imaging In the Detection And Management Of Dvtmentioning

confidence: 99%

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism

Rahaghi

Minhas

Heresi

2018

Clinics in Chest Medicine

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Imaging continues to be the modality of choice for the diagnosis of venous thromboembolic disease, particularly when incorporated into diagnostic algorithms. Improvement in imaging techniques as well as new imaging modalities and processing methods have improved diagnostic accuracy and additionally are being leveraged in prognostication and decision making for choice of intervention. In this article, we review the role of imaging in diagnosis and prognostication of venous thromboembolism. We also discuss emerging imaging approaches that may in the near future find clinical usefulness in improving diagnosis and prognostication as well as differentiating disease phenotypes.

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Section: Imaging In the Detection And Management Of Dvtmentioning

confidence: 99%

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism

Rahaghi

Minhas

Heresi

2018

Clinics in Chest Medicine

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“…Deep vein thrombosis (DVT) is one of the leading causes of death worldwide and usually occurs in the lower extremity and is associated with life-threatening consequences, pulmonary embolism (PE), and is known as venous thromboembolism (VTE) [1]. VTE is a common complaint in critically ill patients [2].…”

Section: Introductionmentioning

confidence: 99%

“…According to the latest Centers for Disease Control and Prevention data statistics released in June 2015, a total of 900,000 individuals are afflicted with VTE (in the United States, 1-2 out of 1000 patients) per year. Of these, about 60,000 to 100,000 individuals die, 1-s of them are infected with longterm complications (post-thrombotic syndrome), and one-third of them experience recurrence within 10 years [1]. The findings of Shakur et al' study which was conducted in Iran indicated that the frequency percentage of lower extremity DVT was 53.6%, 46.3%, 45.3%, and 48.5% in the surgical intensive care unit (ICU), respiratory ICU, neuro-ICU and for the total patients, respectively [3].…”

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confidence: 99%

Investigating Effect of Nursing Interventions, Based on Wells Score Results, on the Incidence of Deep Vein Thrombosis in Patients Admitted to the Intensive Care Unit

Moghadam

Asadizaker

Jahani

et al. 2018

Asian J Pharm Clin Res

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Objective: Venous thromboembolism, including deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common complaint in critically ill patients. Therefore, the present study was conducted to determine the effect of nursing interventions, based on the Wells results, on the incidence of DVT in intensive care unit (ICU) patients.Methods: The present clinical trial was conducted on 72 ICU patients without DVT and PE who met the inclusion criteria according to Wells score in Dr. Ganjavian Hospital, Dezful in 2012. The participants were investigated and randomly divided into intervention (n=36) and control groups (n=36). The intervention group received preventive nursing measures based on the risk level determined by the Wells score, and routine therapeutic interventions were performed for the control group. Then, patients were evaluated using Wells score, D-dimer testing, and Doppler sonography on the 1st, 5th, and 10th days. Data were finally coded and entered into SPSS version 23. Data analysis was performed using Chi-square, Fisher’s exact, and Mann–Whitney U tests.Results: The incidence of DVT in both groups showed that 2 patients of the control group who were identified to be at risk using the Wells score were diagnosed with DVT while none of the patients of the intervention group experienced DVT. The present study showed that 22.2% of the patients of the control group suffered from non-pitting edema, which was significantly different from the intervention group (p=0.005).Conclusion: The results of the present study showed that using the Wells score for early identification of the at-risk patients and nursing interventions based on this score’s results is helpful in the prevention of DVT. Appropriate nursing interventions were also effective in reducing the incidence of non-pitting edema in the lower extremities.

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“…Эта инвазивная методика, в основе которой лежит ионизирую-щее излучение, также требует введения большо-го количества контрастного вещества, а потому имеет ряд ограничений к применению у неко-торых категорий пациентов (преимущественно у больных с заболеваниями почек), а также чре-вата риском развития аллергической реакции и возникновением ятрогенного тромбоза [3][4][5].…”

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“…Компьютерная томография (КТ) с приме-нением контрастирующих веществ имеет пре-имущество в выявлении тромботических масс с локализацией в илиофеморальном сегменте и венах малого таза, трудно визуализируемых при УЗИ [3]. Кроме того, КТ используется для выяв-ления и оценки массивности ТЭЛА.…”

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