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Color Venous Duplex Ultrasound of the Lower Extremity in the Diagnosis of Deep Venous Thrombosis

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Noninvasive Vascular Diagnosis

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Abstract

Venous thromboembolism (VTE) is an important clinical problem facing most medical and surgical specialties and potentially affecting both inpatients and outpatients. The clinical symptoms and signs are often vague and nonspecific; therefore, an accurate diagnostic test is needed to help guide management. Venous color-flow duplex scanning has been refined over the last several years and is now considered the “gold standard” test for acute deep venous thrombosis (DVT). The technique of scanning and finding of acute DVT is described herein.

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References

  1. U.S. Department of Health and Human Services. The surgeon general’s call to action to prevent deep vein thrombosis and pulmonary embolism, 2008.Available at: http://www.surgeongeneral.gov/topics/deepvein.

    Google Scholar 

  2. Meissner MH, Wakefield TW, Ascher E, Caprini JA, Omerota AJ, et al. Acute venous disease: venous thrombosis and venous trauma. J Vasc Surg. 2007;46:25S–3.

    Article  PubMed  Google Scholar 

  3. Machlus KR, Aleman MM, Wolberg AS. Update on venous thromboembolism: risk factors, mechanisms, and treatment. Arterioscler Throm Vasc Biol. 2011;31:476–8.

    Article  CAS  Google Scholar 

  4. Caprini JA. Risk assessment as a guide for the prevention of the many faces of venous thromboembolism. Am J Surg. 2010;199:S3–S10.

    Article  PubMed  Google Scholar 

  5. Geerts WH, Pineo GF, Heit JA, Berqvist D, et al. Prevention of venous thromboembolism. Chest. 2004;126:338S–400.

    Article  CAS  PubMed  Google Scholar 

  6. Geerts WH, Bergqvist D, Pineo GF, Heit JA, et al. Prevention of venous thromboembolism. American college of chest physicians evidence-based clinical practice guidelines (8th edition). Chest. 2008;133:381S–453S.

    Article  CAS  PubMed  Google Scholar 

  7. Gould MK, Garcia DA, Wren SM, Karanicolas PJ, et al. Prevention of VTE in nonorthopedic surgical patients. Chest. 2012;141:e227S–77s.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Heit JA, Silverstein MD, Mohr DN, et al. The epidemiology of venous thromboembolism in the community. Thromb Haemostat. 2001;86:452–63.

    CAS  Google Scholar 

  9. Fowkes FJ, Price JF, Fowkes FG. Incidence of diagnosed deep vein thrombosis in the general population: systematic review. Eur J Vasc Endovasc Surg. 2003;25:1–5.

    Article  CAS  PubMed  Google Scholar 

  10. Meissner MH, Moneta GM, Burnand K, Gloviczki P, et al. The hemodynamics and diagnosis of venous disease. J Vasc Surg. 2007;46:4S–24.

    Article  PubMed  Google Scholar 

  11. Labropoulos N, Tassiopoulos AK. Chapter 41: Vascular diagnosis of venous thrombosis. In: Mansour MA, Labropoulos N, editors. Vascular diagnosis. 1st ed. Philadelphia: Elsevier Saunders; 2005. p. 429–38.

    Chapter  Google Scholar 

  12. Illig KA, DeWeese JA. Venous and lymphatic disease: an historical review. In: Gloviczki P, JST Y, editors. Handbook of venous disorders. 2nd ed. London: Arnold; 2001. p. 3–10. Chapter 1.

    Google Scholar 

  13. Mattos MA, Sumner DS. Direct noninvasive tests (duplex scan) for the evaluation of chronic venous obstruction and valvular incompetence. In: Gloviczki P, JST Y, editors. Handbook of venous disorders. 2nd ed. London: Arnold; 2001. p. 120–31. Chapter 12.

    Google Scholar 

  14. Hirsch J, Lee AY. How we diagnose and treat deep vein thrombosis. Blood. 2002;99:3102–10.

    Article  Google Scholar 

  15. Goodacre S, Stevenson M, Wailoo A, Sampson F, et al. How should we diagnose suspected deep-vein thrombosis? Q J Med. 2006;99:377–88.

    Article  CAS  Google Scholar 

  16. Mintz BL, Araki CY, Krithatis A, Hobson RW. Venous duplex ultrasound of the lower extremity in the diagnosis of deep venous thrombosis. In: AF AR, editor. Nononvasive vascular diagnosis. 2nd ed. London: Springer; 2007. p. 385–93. Chapter 35.

    Chapter  Google Scholar 

  17. Wells PS, Anderson DR, Rodger M, et al. Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med. 2003;349:1227–35.

    Article  CAS  PubMed  Google Scholar 

  18. Bernardi E, Camporese G, Buller HR, Siragusa S, et al. Serial 2-point ultrasonography plus D-dimer vs. leg color-coded Doppler ultrasonography for diagnosing suspected symptomatic deep vein thrombosis. JAMA. 2008;300:1653.

    Article  CAS  PubMed  Google Scholar 

  19. Johnson SA, Stevens SM, Woller SC, Lake E, et al. Risk of deep vein thrombosis following a single negative whole-leg compression ultrasound. JAMA. 2010;303:438–45.

    Article  CAS  PubMed  Google Scholar 

  20. Palareti G, Cosmi B, Legnani C, Tosseto A, et al. D-dimer testing to determine the duration of anticoagulation therapy. N Engl J Med. 2006;355:1780–9.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Surgery and Cardiovascular Medicine, Michigan State University and Spectrum Health, 648 Monroe St., NW, Suite 310-MC088, Grand Rapids, MI, 49503-1454, USA

    M. Ashraf Mansour MD, RVT, RPVI, FACS

Authors
  1. M. Ashraf Mansour MD, RVT, RPVI, FACS
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Corresponding author

Correspondence to M. Ashraf Mansour MD, RVT, RPVI, FACS .

Editor information

Editors and Affiliations

  1. Charleston, West Virginia, USA

    Ali F. AbuRahma

Review Questions

Review Questions

  1. 1.

    Patients at increased risk of venous thromboembolism (VTE) include all the following except:

    1. a.

      History of spinal cord injury

    2. b.

      History of previous DVT

    3. c.

      Estrogen hormone therapy

    4. d.

      Female sex

    5. e.

      History of malignancy

  2. 2.

    Inherited coagulation disorders that are known to cause an increased risk of VTE include all the following except:

    1. a.

      Protein C deficiency

    2. b.

      Protein S deficiency

    3. c.

      Antithrombin III deficiency

    4. d.

      Factor VIII deficiency (hemophilia A)

    5. e.

      Factor V Leiden mutation

  3. 3.

    In patients suspected of possible VTE, venous duplex ultrasound:

    1. a.

      Cannot distinguish between acute and chronic thrombus

    2. b.

      Is considered the “gold standard” test to obtain

    3. c.

      Is not helpful if the symptoms have been present for less than 24 h

    4. d.

      Cannot detect gastrocnemial or soleal vein thrombus

    5. e.

      Is the ideal test for obese patients suspected of pelvic DVT

Answer Key

  1. 1.

    d

  2. 2.

    d

  3. 3.

    b

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Ashraf Mansour, M. (2017). Color Venous Duplex Ultrasound of the Lower Extremity in the Diagnosis of Deep Venous Thrombosis. In: AbuRahma, A. (eds) Noninvasive Vascular Diagnosis. Springer, Cham. https://doi.org/10.1007/978-3-319-54760-2_40

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  • DOI: https://doi.org/10.1007/978-3-319-54760-2_40

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54758-9

  • Online ISBN: 978-3-319-54760-2

  • eBook Packages: MedicineMedicine (R0)

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