Symptomatic deep vein thrombosis: Diagnosis with limited compression US

被引:54
作者
Pezzullo, JA
Perkins, AB
Cronan, JJ
机构
[1] RHODE ISL HOSP,DEPT DIAGNOST IMAGING,PROVIDENCE,RI 02902
[2] BROWN UNIV,SCH MED,PROVIDENCE,RI 02902
关键词
thrombosis; US; venous; veins; extremities;
D O I
10.1148/radiology.198.1.8539408
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
PURPOSE: To evaluate the utility of limited compression ultrasound (US) in the diagnosis of deep vein thrombosis (DVT). MATERIALS AND METHODS: Positive sonograms (n = 160) in 155 symptomatic patients were reviewed retrospectively to assess the distribution of DVT. Fifty-three symptomatic patients underwent 56 limited US examinations of the common femoral and popliteal veins only, followed by traditional US of the entire venous system of the lower extremity from the inguinal ligament to the calf veins. RESULTS: Proximal vein thrombosis was seen in 146 cases (91%); the other 14 cases (9%) showed isolated calf vein thrombosis. In 145 cases (99%), either the common femoral or the popliteal vein was involved. Seven (12%) of 56 examinations showed the presence of thrombosis. Limited examination depicted each case of DVT that was detected with the complete examination, with an average decrease in examination time of 9.7 minutes, or 54%. CONCLUSION: Limited compression US in patients with symptomatic DVT is a Viable alternative to routine US; the examination time is decreased by greater than one-half.
引用
收藏
页码:67 / 70
页数:4
相关论文
共 20 条
[1]   DEEP VENOUS THROMBOSIS OF THE LEG - UNITED-STATES FINDINGS [J].
APPELMAN, PT ;
DEJONG, TE ;
LAMPMANN, LE .
RADIOLOGY, 1987, 163 (03) :743-746
[2]   DISTRIBUTION OF THROMBOSIS IN PATIENTS WITH SYMPTOMATIC DEEP-VEIN THROMBOSIS - IMPLICATIONS FOR SIMPLIFYING THE DIAGNOSTIC PROCESS WITH COMPRESSION ULTRASOUND [J].
COGO, A ;
LENSING, AWA ;
PRANDONI, P ;
HIRSH, J .
ARCHIVES OF INTERNAL MEDICINE, 1993, 153 (24) :2777-2780
[3]   VENOUS THROMBOEMBOLIC DISEASE - THE ROLE OF US [J].
CRONAN, JJ .
RADIOLOGY, 1993, 186 (03) :619-630
[4]   CONTEMPORARY VENOUS IMAGING [J].
CRONAN, JJ .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 1991, 14 (02) :87-97
[5]   DEEP VENOUS THROMBOSIS - US ASSESSMENT USING VEIN COMPRESSION [J].
CRONAN, JJ ;
DORFMAN, GS ;
SCOLA, FH ;
SCHEPPS, B ;
ALEXANDER, J .
RADIOLOGY, 1987, 162 (01) :191-194
[6]  
ELIAS A, 1987, INT ANGIOL, V6, P175
[7]   PROBLEMS OF ACUTE DEEP VENOUS THROMBOSIS .I. INTERPRETATION OF SIGNS AND SYMPTOMS [J].
HAEGER, K .
ANGIOLOGY, 1969, 20 (04) :219-&
[8]  
Havig O, 1977, Acta Chir Scand Suppl, V478, P1
[9]   A COMPARISON OF REAL-TIME COMPRESSION ULTRASONOGRAPHY WITH IMPEDANCE PLETHYSMOGRAPHY FOR THE DIAGNOSIS OF DEEP-VEIN THROMBOSIS IN SYMPTOMATIC OUTPATIENTS [J].
HEIJBOER, H ;
BULLER, HR ;
LENSING, AWA ;
TURPIE, AGG ;
COLLY, LP ;
TENCATE, JW .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (19) :1365-1369
[10]   REPLACEMENT OF VENOGRAPHY IN SUSPECTED VENOUS THROMBOSIS BY IMPEDANCE PLETHYSMOGRAPHY AND I-25-FIBRINOGEN LEG SCANNING - A LESS INVASIVE APPROACH [J].
HULL, R ;
HIRSH, J ;
SACKETT, DL ;
TAYLOR, DW ;
CARTER, C ;
TURPIE, AGG ;
ZIELINSKY, A ;
POWERS, P ;
GENT, M .
ANNALS OF INTERNAL MEDICINE, 1981, 94 (01) :12-15