PMID: 9546232Apr 18, 1998Paper

Duplex ultrasound in the hemodynamic evaluation of the late sequelae of deep venous thrombosis

Journal of Vascular Surgery
J H HaenenT Thien

Abstract

The use of duplex ultrasound scanning to evaluate the hemodynamic outcome of deep venous thrombosis 7 to 13 years after the original diagnosis. Duplex ultrasound was used to re-examine 1212 segments of vein from 72 patients (49 men, 23 women) with deep venous thrombosis previously diagnosed by means of phlebography to detect reflux and obstruction and evaluate flow; 611 segments were initially thrombosed and 601 segments were open. To define reflux, reversed flow in 31 healthy persons was measured. In a review of all veins of the 72 patients, 8 patients (11%) had completely normal duplex results in all veins, 33 (46%) had reflux, 6 (8%) had at least one noncompressible vein segment, and 25 (35%) had a combination of both. In the proximal vein segments without initial thrombosis a higher percentage was normal (73%) than in segments with initial thrombosis (46%). There was a significantly higher frequency of reflux (46%, p = 0.05) and noncompressibility (12%, p < 0.01) in initially thrombosed proximal vein segments than in vein segments without initial thrombosis (reflux 25%, noncompressibility 3%). Distal to the knee 125 (17%) of 720 vein segments were not traceable. Significantly more initially thrombosed vein segments were not...Continue Reading

References

Jan 1, 1989·Journal of Vascular Surgery·L A KillewichD E Strandness
Nov 1, 1986·Journal of Vascular Surgery·D J LindnerJ M Porter
Apr 1, 1985·Archives of Surgery·L A KillewichD E Strandness
Apr 1, 1971·Radiology·M L Thomas, V McAllister
Mar 1, 1995·Journal of Vascular Surgery·J A CapriniJ J Reyna
Jul 1, 1993·Journal of Internal Medicine·M HeldalU Abildgaard

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Citations

Sep 30, 2006·ANZ Journal of Surgery·Ramon L VarcoeGabrielle McMullin
Jan 30, 2009·Journal of Thrombosis and Haemostasis : JTH·E M Roumen-KlappeM Den Heijer
Dec 12, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S RosforsS Törngren
Nov 16, 2010·Journal of Vascular Surgery·Seshadri Raju
Jul 16, 2005·Thrombosis Research·Andrea Agnes MolnárViktor Bérczi
Sep 21, 2007·Journal of Computer Assisted Tomography·Eun-Ah ParkJae Hyung Park

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