ROLE OF COLOUR DOPPLER IN EVALUATION OF ACUTE DEEP VEIN THROMBOSIS OF LOWER LIMB
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 8
Abstract
BACKGROUND Acute deep vein thrombosis (DVT) is a well-recognized contributor to increased morbidity and mortality following trauma and elective musculoskeletal procedures. While ascending venography is the gold standard for the diagnosis of acute DVT, various noninvasive surveillance modalities including colour Doppler have been introduced. With the addition of colour flow, Doppler ultrasound allows improved identification of vessels by visualizing blood flow and establishes the direction of flow. MATERIALS AND METHODS The study was carried out at Department of Radio Diagnosis, G.M.C., Bhopal in 100 acute DVT patients from 1/7/08 to 30/11/09. The study was carried out with GE logic 2 expert by using linear transducer of 7.5 to 10 MHz. Scan starting from iliac segment then cephalad up to iliac bifurcation and caudally up to tibial veins. RESULTS In 100 acute DVT patients, in about 94% of symptomatic patients, thrombus was seen involving veins above knee. Probe compressibility was absent in 98% patients. Colour flow was absent in 100% patients. CONCLUSION Colour Doppler is better predictor of acute DVT because it is more sensitive & specific, non-invasive, painless, widely available, easy to use, less expensive & has no radiations.
Authors and Affiliations
Vijay Bahadur Singh, Punya Pratap Singh, Rajesh Malik, Lovely Kaushal, Vijay Verma, Abhijeet Patil, Anuja Patil
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