2013
DOI: 10.1007/s40138-013-0016-4
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Tools for the Clinician: The Essentials of Bedside (ED or ICU) Ultrasound for Deep Vein Thrombosis

Abstract: Deep vein thrombosis (DVT) is a serious condition that is difficult to diagnose clinically. Venography has long been held as the gold standard for diagnosis of DVT. Ultrasonography has a sensitivity and specificity that approaches that of venography, and has nearly replaced venography for the diagnosis of DVT. Traditionally DVT ultrasounds have been performed by technologists and interpreted by radiologists. These tests generally consist of full leg compression and Doppler studies, which may take over 15 min t… Show more

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Cited by 8 publications
(8 citation statements)
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“…They can be used to identify thrombus size and location. US is the currently accepted first-line imaging test for the diagnosis of DVT in the lower extremities (5). Although the US is a noninvasive method that does not involve ionizing radiation or the administration of radiographic contrast agents (6)(7)(8), it tends to be susceptible to generating false-negative venous ultrasonography results, particularly in obese patients or patients with markedly edematous limbs (9).…”
Section: Introductionmentioning
confidence: 99%
“…They can be used to identify thrombus size and location. US is the currently accepted first-line imaging test for the diagnosis of DVT in the lower extremities (5). Although the US is a noninvasive method that does not involve ionizing radiation or the administration of radiographic contrast agents (6)(7)(8), it tends to be susceptible to generating false-negative venous ultrasonography results, particularly in obese patients or patients with markedly edematous limbs (9).…”
Section: Introductionmentioning
confidence: 99%
“…Although the ultimate gold standard for diagnosis is contrast venography, 2 ultrasound performed by a technologist and interpreted by a radiologist is the current test of choice for diagnosis of DVT in the emergency department (ED). 3 With the potential to save both time 4 and money, emergency physician (EP)-performed DVT ultrasound offers an attractive alternative to reliance on radiology department-performed ultrasound imaging. Indeed, the American College of Emergency Physicians (ACEP) supports EP-performed DVT ultrasound training, as it now considers DVT ultrasound one of the core emergency ultrasound applications.…”
Section: Introductionmentioning
confidence: 99%
“…The accuracy of doppler ultrasound examination in patients with DVT can reach 94%. 6,7 Kesieme (2011) states the incidence of DVT is very rare in young people. The annual incidence is 0.07 to 0.14 per 10,000 patients.…”
Section: Discussionmentioning
confidence: 99%