Ultrasonography and Diagnosis of Venous Thromboembolism
- 30 March 2004
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Circulation
- Vol. 109 (12_suppl_1), I9-14
- https://doi.org/10.1161/01.cir.0000122870.22669.4a
Abstract
Venous thromboembolism (VTE) consists of two related conditions: pulmonary embolism (PE) and deep vein thrombosis (DVT). Objective testing for VTE is crucial because the clinical diagnosis is nonspecific and insensitive, and the consequences of a missed diagnosis are serious. The purpose of this review is to discuss the utility of venous ultrasonography as the foundation for diagnosis of acute lower extremity DVT. The effectiveness and practicality of venous ultrasonography as a stand-alone examination versus theoretically attractive, but perhaps less practical, combined approaches of ultrasonography with clinical probability assessment and D-dimer testing in the diagnosis of acute DVT is also addressed. Finally, the role of venous ultrasonography in a diagnostic algorithm for suspected PE is discussed.This publication has 32 references indexed in Scilit:
- Evaluation of D-Dimer in the Diagnosis of Suspected Deep-Vein ThrombosisThe New England Journal of Medicine, 2003
- The Evaluation of Suspected Pulmonary EmbolismThe New England Journal of Medicine, 2003
- Natural History of Venous ThromboembolismCirculation, 2003
- The evolving paradigm of evidence‐based medicineJournal of Evaluation in Clinical Practice, 2002
- SimpliRED D-dimer can reduce the diagnostic tests in suspected deep vein thrombosisThe Lancet, 1998
- Noninvasive Diagnosis of Deep Venous ThrombosisAnnals of Internal Medicine, 1998
- Pulmonary Embolism — New Diagnostic ApproachesThe New England Journal of Medicine, 1997
- Detection of deep venous thrombosis: Prospective comparison of MR imaging and sonographyJournal of Magnetic Resonance Imaging, 1996
- Colour flow mapping in the diagnosis of the calf deep vein thrombosisClinical Radiology, 1993
- Combined Use of Leg Scanning and Impedance Plethysmography in Suspected Venous ThrombosisThe New England Journal of Medicine, 1977