✦ LIBER ✦

Diagnosis of acute lower limb deep venous thrombosis with ultrasound: Trends and controversies

✍ Scribed by Dauzat, Michel; Laroche, Jean-Pierre; Deklunder, Ghislaine; Ayoub, Jean; Quéré, Isabelle; Lopez, François-Michel; Janbon, Charles

Publisher: John Wiley and Sons
Year: 1997
Tongue: English
Weight: 548 KB
Volume: 25
Category: Article
ISSN: 0091-2751
DOI: 10.1002/(sici)1097-0096(199709)25:7<343::aid-jcu1>3.0.co;2-a

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✦ Synopsis

Acute deep venous thrombosis of the lower limb is a common and threatening condition whose clinical diagnosis is known to be unreliable. Sonography has gradually superseded venography as the primary diagnostic procedure. A review of the medical literature shows that sonography offers a high level of sensitivity and specificity in symptomatic patients but suffers from a lack of sensitivity at the calf level and in asymptomatic patients. Technologic progress, as well as increased operator experience, may improve sensitivity. Nevertheless, several critical issues remain unresolved, such as the significance of free-floating thrombi, the usefulness of calf and bilateral examination, the criteria that are essential to the diagnosis, the risk of compression sonography, and sonography's role in the direct detection of venous emboli.

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