A profile of lower-limb deep-vein thrombosis: the hidden menace of below-knee DVT

被引：11

作者：

Cowell, G. W.

Reid, J. H.

Simpson, A. J.

Murchison, J. T. ^{[1
]}

机构：

[1] Royal Infirm Edinburgh NHS Trust, Dept Clin Radiol, Edinburgh EH16 4SA, Midlothian, Scotland

[2] Royal Infirm Edinburgh NHS Trust, Dept Resp Med, Edinburgh, Midlothian, Scotland

[3] Borders Gen Hosp, Dept Clin Radiol, Melrose, Scotland

来源：

CLINICAL RADIOLOGY | 2007年 / 62卷 / 09期

关键词：

D O I：

10.1016/j.crad.2007.01.027

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

AIMS: To describe the anatomical site and laterality of deep-vein thrombosis (DVT) in symptomatic patients using contrast venography (CV), and to assess age, sex distribution, and accuracy of pre-test clinical suspicion of DVT. METHODS: One thousand, five hundred and seventy-two patients undergoing CV because of a clinical suspicion of DVT at a large teaching hospital from October 1995 to March 2003 were prospectively studied. RESULTS: Thrombi were demonstrated in 511 (32.5%) of all CV studies. Isolated, below-knee thrombi were identified in 29.4% of positive studies. There was a left-sided predominance of DVT (ratio 1.24:1) that was most evident in the elderly and in more proximal veins. CONCLUSION: Almost a third of positive cases were shown to be isolated, betow-knee thrombi. These are thrombi that are more difficult to detect by non-invasive means. A left-sided predominance of DVT is evident. (c) 2007 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

引用

页码：858 / 863

页数：6

共 36 条

[1] A POPULATION-BASED PERSPECTIVE OF THE HOSPITAL INCIDENCE AND CASE-FATALITY RATES OF DEEP-VEIN THROMBOSIS AND PULMONARY-EMBOLISM - THE WORCESTER DVT STUDY [J].