High percentage of non-diagnostic compression ultrasonography results and the diagnosis of ipsilateral recurrent proximal deep vein thrombosis

Tan, Melanie; Velthuis, Sebastiaan; Westerbeek, Robin E.; Rooden, Cornelis J. van; Meer, F. J. M. Van Der; Huisman, Menno V.

doi:10.1111/j.1538-7933.2010.03758.x

Cited by 10 publications

(21 citation statements)

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“…Accurate distinguishing US features of acute and chronic DVT are lacking. Consequently, CUS is frequently inconclusive in patients with a suspected recurrent ipsilateral DVT . One of the solutions for this diagnostic problem is performing a reference CUS at the end of treatment for the first DVT, to map the location and extent of the thrombotic remains .…”

Section: Ultrasonographymentioning

confidence: 99%

Current and future perspectives in imaging of venous thromboembolism

Dronkers

Klok

Huisman

2016

Journal of Thrombosis and Haemostasis

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Summary. Several thrombus imaging techniques for the diagnosis of venous thromboembolism (VTE) are available. The most prevalent forms of VTE are deep vein thrombosis of the lower extremities and pulmonary embolism. However, VTE may also occur at unusual sites such as deep veins of the upper extremity and the splanchnic and cerebral veins. Currently, the imaging techniques most widely used in clinical practice are compression ultrasonography and computed tomography (CT) pulmonary angiography. Moreover, single-photon emission CT, CT venography, positron emission tomography, and different magnetic resonance imaging (MRI) techniques, including magnetic resonance direct thrombus imaging, have been evaluated in clinical studies. This review provides an overview of the technique, diagnostic accuracy and potential pitfalls of these established and emerging imaging modalities for the different sites of venous thromboembolism.

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Section: Ultrasonographymentioning

confidence: 99%

Current and future perspectives in imaging of venous thromboembolism

Dronkers

Klok

Huisman

2016

Journal of Thrombosis and Haemostasis

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“…Its interpretation is notably more challenging in patients with suspected ipsilateral recurrence. [20][21][22] Studies on recurrent VTE are scarce. In the following paragraphs, we will discuss pretest assessment, laboratory testing, and imaging techniques for suspected recurrent DVT.…”

Section: Diagnosis Of Recurrent Deep Vein Thrombosismentioning

confidence: 99%

How to Differentiate Recurrent Deep Vein Thrombosis from Postthrombotic Syndrome

2020

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Venous thromboembolism (VTE) is associated with significant morbidity and mortality. Accuracy of diagnosis is thus of vital importance. Failure to diagnose VTE increases the risk of progression and complications. Conversely, anticoagulation as a result of an incorrect diagnosis exposes patients to the associated hazards of bleeding. The diagnostic management of recurrent deep vein thrombosis (DVT) and postthrombotic syndrome (PTS) is especially challenging due to the lack of well-established diagnostic standards. Particularly, the differentiation between the two is notoriously difficult as symptoms, clinical signs, and diagnostic test findings largely overlap. This review highlights the current diagnostic and management strategies for recurrent DVT and PTS with a focus on clinical findings and imaging modalities. We also discuss current open questions for clinicians in the field, anticipating future directions and predictions for the year 2050.

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“…19,21 It has been shown that in clinical practice up to 32% of the patients could not be diagnosed based on these criteria because of the lack of previous CUS reports or because no thrombus diameter had been recorded in the previous examination(s). 22 Furthermore, in cases where thrombus diameter has been measured, the interobserver agreement of measuring the thrombus diameter has been reported to be low, with a mean difference between the measurements of 2.2 mm (95th centile 8.0 mm). 23 Another method of assessing ipsilateral recurrent thrombosis was proposed by assessing the change of thrombus length.…”

Section: Imaging Dvtmentioning

confidence: 99%

The Diagnostic Management of Recurrent Deep Vein Thrombosis and Pulmonary Embolism

Tan

Mol

Rooden

et al. 2012

Semin Respir Crit Care Med

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The diagnostic management of recurrent venous thromboembolism (VTE) is a clinical dilemma. Clinical decision rules are well validated in patients with a first episode of clinically suspected VTE but are not validated in patients with a suspected recurrent event. D-dimer testing could safely exclude a recurrent VTE but is subject to several limitations. Imaging could objectively exclude or establish the diagnosis of recurrent VTE, but due to persistent residual abnormalities after the first or previous event, imaging interpretation can be difficult. To limit the presence of uncertain imaging test results, a standardized baseline examination after anticoagulation cessation should be considered. This review will elaborate on these issues and will discuss the recent advancements in this area.

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High percentage of non-diagnostic compression ultrasonography results and the diagnosis of ipsilateral recurrent proximal deep vein thrombosis

Cited by 10 publications

References 0 publications

Current and future perspectives in imaging of venous thromboembolism

Current and future perspectives in imaging of venous thromboembolism

How to Differentiate Recurrent Deep Vein Thrombosis from Postthrombotic Syndrome

The Diagnostic Management of Recurrent Deep Vein Thrombosis and Pulmonary Embolism

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