Doppler ultrasonography versus venography in the detection of deep vein thrombosis in patients with pulmonary embolism.

Journal of Thrombosis and Thrombolysis
Omer OzbudakTülay Ozdemir

Abstract

In patients with acute pulmonary embolism (PE) the frequency of deep vein thrombosis (DVT) varies between 13-93%. The aim of this study was to compare Doppler ultrasonography (DUSG) and venography in the detection of DVT in patients with PE. Fifty-one patients who were clinically diagnosed as having PE from January 1st 2001 to January 31st 2005 were entered into the study and comorbid conditions and risk factors were noted. The diagnosis of PE was confirmed by ventilation-perfusion (V/Q) scintigraphy, spiral tomography and angiotomography while the diagnosis of DVT was made by DUSG and venography. DVT was confirmed by both DUSG and venography in 19 (37,3%) patients. In the remaining 32 patients DUSG was negative. Venography confirmed DVT in 6 of these patients while in 26 no DVT was found. The sensitivity and specifity of DUSG in the diagnosis of DVT were 76% and 100% respectively and the negative and positive predictive values were 81% and 100% respectively. The mean d-dimer concentration was 1,187 in patients with DVT and 641 in patients without DVT (p > 0.05). Aquired risk factors were found in 4 of 6 patients with DVT, CRP was elevated in 5 (83%) and ALT-AST were elevated in 2 (33%). Although DUSG alone is considered suffic...Continue Reading

References

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Citations

Mar 2, 2011·Journal of Thrombosis and Thrombolysis·Jan BembenekAnna Czlonkowska
Oct 25, 2007·Journal of Thrombosis and Thrombolysis·Ercan Kocakoc
Jun 26, 2013·The Journal of Arthroplasty·Vikas Kulshrestha, Santhosh Kumar
Aug 30, 2011·Thrombosis Research·Jan Paweł BembenekAdam Kobayashi
Dec 30, 2014·Ultrasound in Medicine & Biology·Jui FangPo-Hsiang Tsui
May 28, 2010·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·William E Dager
Nov 22, 2008·Journal of Biomedical Optics·Andrei B KarpioukStanislav Y Emelianov
Sep 15, 2020·Annals of Intensive Care·Lloyd RobertsVinodh Bhagyalakshmi Nanjayya
Mar 5, 2009·The Journal of Bone and Joint Surgery. British Volume·D P GoelR Gray
Aug 2, 2008·The Journal of Bone and Joint Surgery. British Volume·E TsiridisR West
Sep 11, 2010·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Tayana B T MelloJoyce M Annichinno-Bizzachi

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