The diagnostic value of colour doppler ultrasound in central venous catheter related thrombosis

Prevalence of inherited prothrombotic abnormalities and central venous catheter-related thrombosis in haematopoietic stem cell transplants recipients

“…For veins accessible to direct insonation, criteria considered to show the presence of catheter-related thrombosis included visualization of thrombosis, absence of spontaneous flow, dilatation of the vein by the Valsalva maneuvre and noncompressibility of the vein. [17][18] For veins inaccessible to direct insonation (middle part of the subclavian vein, brachiocephalic vein, and superior caval vein), the criterion of monophasic flow to detect occlusive thrombosis was used. 19 All CVCs were removed before discharge.…”

Duplex sonography for detection of deep vein thrombosis of upper extremities: a 13-year experience

“…Colour duplex sonography provides excellent sensitivity and specificity as shown in a study by Köksoy et al 7 in which the sensitivity and specificity were 94% and 96%, respectively. According to these authors, the downside is that this technique cannot completely exclude the presence of thrombus in axillary, subclavian, superior vena cava, or brachiocephalic vessels.…”

“…According to these authors, the downside is that this technique cannot completely exclude the presence of thrombus in axillary, subclavian, superior vena cava, or brachiocephalic vessels. 7 The presence of UEDVT may only be inferred from secondary signs such as absence of respiratory variation and cardiac plasticity. 8 In view of its safety and cost-effectiveness, duplex sonography is usually preferred as the first-line imaging technique in the evaluation of UEDVT.…”

Clinical Experience With Upper Extremity Venous Sonography in a High-Risk Cancer Population

“…We did not analyze the accuracy of each sonographic technique, but Koksoy et al 10 previously reported individual specificities and sensitivities for gray scale, compression, color, and spectral Doppler sonography. They found that loss of phasicity had the highest sensitivity (94%) and absence of spontaneous flow had the highest specificity (100%) for independent diagnosis of upper extremity thrombosis; the combination of thrombus visualization, absence of flow, and/or loss of phasicity yielded sensitivity of 94% and specificity of 88%.…”

“…6 Additional risk factors for the development of upper extremity venous thrombosis include hypercoagulable states that are common in cancer patients. Doppler sonography has high specificity and sensitivity for diagnosis of deep venous thrombosis 2,[7][8][9][10][11] and is now the primary imaging study for evaluation of the upper extremity central veins.…”