Acta Scientific Cancer Biology (ASCB) (ISSN: 2582-4473)

Research Article Volume 4 Issue 11

The Use of Doppler Ultrasound to Diagnose Deep Vein Thrombosis of the Lower Limbs

Nagla Hussein Mohamed Khalid*

Department of Diagnostic Radiology, Faculty of Applied Medical Sciences, Najran University, Najran, KSA

*Corresponding Author: Nagla Hussein Mohamed Khalid, Department of Diagnostic Radiology, Faculty of Applied Medical Sciences, Najran University, Najran, KSA.

Received: October 19, 2020; Published: October 28, 2020

×

Abstract

  In most cases of pulmonary embolism, death occurs as a result of deep vein thrombosis (DVT) of the lower extremities. Therefore, to avoid DVT complications and sequel, DVT must be diagnosed as early as possible and this can be achieved via B-mode and colour Doppler imaging. The present paper seeks to investigate the suitability of the imaging method of ultrasound for lower extremity DVT diagnosis and to explore the outcomes of the use of this method in DVT cases. To this end, the paper undertakes a retrospective descriptive study of 50 cases of ultrasound-based diagnosis of DVT at King Khalid Hospital in the period between January 2019 and August 2020. Half of the cases were subjected to compression, colour and duplex ultrasound, 14 cases were subjected to compression and duplex ultrasound and 11 cases were subjected to compression and colour Doppler. The mean age across all cases was 46.2 ± 19.9 years. The majority of cases (56%) were in the age range 22 - 41 years old (n = 28), while 28% of cases were in the age range 42 - 61 years old (n = 14), 6% of cases were in the age range 62 - 81 years old (n = 3) and 10% of cases were in the age range 82 - 102 years old (n = 5). Regarding sex, females accounted for 60% of cases, while males accounted for the rest of 40%. Furthermore, in 90% of cases (n = 45), just one lower extremity was affected, whereas in 10% of cases (n = 5), both lower extremities were affected. Regarding thrombus location, it was found mostly in the area above the knee, particularly the popliteal vein (34%), common femoral vein (18%) and superficial femoral vein (20%). Moreover, 2% of cases presented thrombus in the calf vein. In 26% of cases, multiple veins were affected. DVT was acute in 76% of cases (n = 38) and chronic in 24% of cases (n = 12). It is concluded that symptomatic and at-risk cases benefit from the use of ultrasound for DVT diagnosis. The suitability of this method stems from its lack of invasiveness and capability to assess thrombus location, magnitude and stage.

Keywords: Deep Vein Thrombosis (DVT); Post-Thrombotic Disorder (PTS); Doppler Ultrasound; Lower Limbs Ultrasound; Doppler; Deep Vein; Thrombosis; Lower limbs; Patients

×

References

  1. Piazza G and Goldhaber SZ. “Acute pulmonary embolism: part I: epidemiology and diagnosis”. Circulation2 (2006): e28-e32.
  2. Andra H James., et al. “Tapson: 100 Questions and Answers About Deep Vein Thrombosis and Pulmonary Embolism: Copyright © 2008 by Jones and Bartlett Publishers, Inc (2008).
  3. Kruger PC., et al. “Deep vein thrombosis: update on diagnosis and management". The Medical Journal of Australia11 (2019): 516-524.
  4. Blann AD and Lip GYH. “Venous thromboembolism”. British Medical Journal 332 (2006): 215-219.
  5. Prandoni P., et al. “The long-term clinical course of acute deep venous thrombosis”. Annals of Internal Medicine 125 (1996): 1-7.
  6. Geerts WH., et al. “Prevention of venous thromboembolism: American College of Chest Physicians Evidence- Based Clinical Practice Guidelines (8thedition)”. Chest6 (2008): 381S-453S.
  7. Heit JA., et al. “On behalf of the VTE Impact Assessment Group. Estimated annual number of incident and recurrent, non-fatal and fatal venous thromboembolism (VTE) events in the US”. ASH Ann Meeting Aaster 106 (2005): 910.
  8. Thrombosis Anthony J., et al. Sadick Published: Deep Vein Thrombosis: 2014 by Taylor and Francis Group, LLCCRC (2014).
  9. Intersocietal Accreditation Commission. ICAVL: Essentials and standards for accreditation in noninvasive vascular testing”. Part II. Vascular laboratory operations - Peripheral venous testing. (2000): 1-8.
  10. Kearon C., et al. “Noninvasive diagnosis of deep vein thrombosis. McMaster Diagnostic Imaging Practice Guidelines Initiative”. Annals of Internal Medicine 128 (1998): 663-677.
  11. Killewich LA., et al. “Diagnosis of deep venous thrombosis: a prospective study comparing duplex scanning to contrast venography”. Circulation 79 (1989): 810-814.
  12. Comerota AJ., et al. “Venous duplex imaging: should it replace hemodynamic tests for deep venous thrombosis?” Journal of Vascular Surgery 11 (1990): 53-61.
  13. Hill SL., et al. “The origin of lower extremity deep vein thrombi in acute venous thrombosis”. The American Journal of Surgery 173 (1997): 485-490.
  14. Hill SL., et al. “Selective use of the duplex scan in diagnosis of deep venous thrombosis”. The American Journal of Surgery 170 (1995): 201-205.
  15. Sheiman RG and McArdle CR. “Bilateral lower extremity US in the patient with unilateral symptoms of deep venous thrombosis: Assessment of need”. Radiology 194 (1995): 171-173.
  16. Markel A., et al. “Pattern and distribution of thrombi in acute venous thrombosis”. Archives of Surgery 127 (1992): 305-309.
×

Citation

Citation: Nagla Hussein Mohamed Khalid. “The Use of Doppler Ultrasound to Diagnose Deep Vein Thrombosis of the Lower Limbs". Acta Scientific Cancer Biology 4.11 (2020): 20-23.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
Impact Factor1.183

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 20, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US