Venous duplex imaging: Should it replace hemodynamic tests for deep venous thrombosis?

Comerota, Anthony J.; Katz, Mira L.; Greenwald, Lori L.; Leefmans, Eric; Czeredarczuk, Michael; White, John V.

doi:10.1016/0741-5214(90)90328-8

Cited by 104 publications

(19 citation statements)

References 14 publications

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“…It is also non-invasive and can be repeatedly used, performed even in the clinic, bedside or even at home and the results are easily available immediately. 31…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study of Clinical Profile, Predisposing Factors and Management of Deep Venous Thrombosis

Pal¹,

Amit²,

Virender³

et al. 2019

IJCMR

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Introduction: Deep venous thrombosis (DVT) of lower limbs is one of the most common cause for the majority of deaths caused by pulmonary embolism. Deep vein thrombosis is the formation of blood clots in the deep veins which commonly affects the leg veins such as the calf veins, femoral vein, or popliteal vein or veins of the pelvis. The aim of the study was to evaluate clinical profile of patients in form of age, sex, etiological factors of deep venous thrombosis in our institute. Also study risk the factors in patients of deep venous thrombosis. Material and Methods: Study was a prospective study which was conducted on 108 symptomatic patients of deep vein thrombosis which were proved by colour doppler ultrasonography. All patients who were more than 18 years of age and either sex were taken into study. Results: In our study 37.03% of the patients were males and 62,97% were females with majority belonging to 21-30 years of age group (33.82%). In this study the youngest patient was 20 years old female and the oldest patient was 96 years old female. Male: Female ratio was 1:1.7. The least common age group affected is extreme of age i.e. ≥ 20 years and > 60 years of age in both sexes. The most common limb affected is left lower limb 62 patients (57.40) and right limb involvement is seen in 39.81% of patients. Bilateral lower limb DVT is present in two patients and one patient was upper limb DVT. Predisposing factors associated with thrombosis in deep veins maximally seen in 46 patients in 42.59% due to unknown cause. Pregnancy and post-partum was the second most common predisposing factor associated with DVT which is seen in 33 patients in 30.55%. Thrombosis due to orthopaedic trauma is seen eight patients only. Chronic illness and malignancy was present in 19.44% of patients. Conclusion: It is very important for accurate diagnosis of DVT to prevent potentially fatal complications like pulmonary embolism (PE) and pulmonary hypertension. Also it is very important to avoid anticoagulants therapy with associated risk of bleeding in patients of misdiagnosed and negative colour doppler findings. Because clinical features are nonspecific; hence new strategies were evolved for diagnosing this condition.

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“…It is also non-invasive and can be repeatedly used, performed even in the clinic, bedside or even at home and the results are easily available immediately. 31…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study of Clinical Profile, Predisposing Factors and Management of Deep Venous Thrombosis

Pal¹,

Amit²,

Virender³

et al. 2019

IJCMR

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“…Currently venous duplex imaging is considered, by most authors, to be the best noninvasive diagnostic method for the diagnosis of PVA [1,10,11,34,36,[59][60][61][62][63][64]. Duplex imaging is reliable in defining the true size of the aneurysm and the extent of thrombus within the aneurysmal sac (Figure 1).…”

Section: Discussion and Review Of The Literaturementioning

confidence: 99%

Popliteal venous aneurysms: A two center experience with 21 cases and review of the literature

Sessa¹,

Perrin²,

Porcu³

et al. 2000

Int J Angiol

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“…239 Light-reflex rheography was evaluated in nine cohorts, all of which were symptomatic. [240][241][242][243][244][245][246][247][248] Phleborheography was evaluated in nine cohorts: seven symptomatic 191,[249][250][251][252][253][254] and two asymptomatic.…”

Section: Plethysmography and Rheographymentioning

confidence: 99%

Measurement of the clinical and cost-effectiveness of non-invasive diagnostic testing strategies for deep vein thrombosis

Goodacre

Sampson²,

Stevenson³

et al. 2006

Health Technol Assess

147

119

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Diagnostic algorithms based on a combination of Wells score, D-dimer and ultrasound (with repeat if negative) are feasible at most UK hospitals and are among the most cost-effective. Use of repeat scanning depends on the threshold for willingness to pay for health gain. Further diagnostic testing for patients with a low Wells score and negative D-dimer is unlikely to represent a cost-effective use of resources. Recommendations for research include the evaluation of the costs and outcomes of using the optimal diagnostic algorithms in routine practice, the development and evaluation of algorithms appropriate for specific groups of patients with suspected DVT, such as intravenous drug abusers, pregnant patients and those with previous DVT, the evaluation of the role of plethysmography: interaction with other diagnostic tests, outcome of low-risk patients with negative plethysmography and measurement of the costs of providing plethysmography, and methodological research into the incorporation of meta-analytic data into decision-analytic modelling.

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Venous duplex imaging: Should it replace hemodynamic tests for deep venous thrombosis?

Cited by 104 publications

References 14 publications

A Prospective Study of Clinical Profile, Predisposing Factors and Management of Deep Venous Thrombosis

A Prospective Study of Clinical Profile, Predisposing Factors and Management of Deep Venous Thrombosis

Popliteal venous aneurysms: A two center experience with 21 cases and review of the literature

Measurement of the clinical and cost-effectiveness of non-invasive diagnostic testing strategies for deep vein thrombosis

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