Bonnin P, Bailliart O, Kedra AW. Notions d’hémodynamique et techniques ultrasonores pour l’exploration des veines du cou et des membres.
ACTA ACUST UNITED AC 2005;
86:629-37. [PMID:
16142026 DOI:
10.1016/s0221-0363(05)81418-0]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Deep venous thrombosis and venous insufficiency are now easily diagnosed with US imaging. US allows anatomic evaluation of the vessel walls and dynamic evaluation of flow velocities. Knowledge of vascular anatomy and physiology is required to interpret US data. The sensitivity of US for the diagnosis of deep venous thrombosis is up to 95% at the leg level, 98% at the popliteal level, and 100% at the femoral level with a specificity of nearly 100%. Venography is thus rarely performed. The sensitivity for the diagnosis of deep venous thrombosis at the neck level is up to 90%. Follow-up can easily be performed because of the wide availability of US.
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