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Related Experiment Videos

[Compression sonography as a screening method in thrombosis diagnosis].

W Habscheid1, A Stratmann, J Dämmrich

  • 1Medizinische Klinik, Universität Würzburg.

Deutsche Medizinische Wochenschrift (1946)
|June 29, 1990
PubMed
Summary

Deep vein thrombosis (DVT) is common in medical intensive care unit patients, affecting 11.4%. Malignancy significantly increases DVT risk, highlighting the need for vigilant screening in high-risk populations.

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Area of Science:

  • Vascular Medicine
  • Diagnostic Imaging
  • Critical Care Medicine

Context:

  • Medical intensive care units (MICUs) are high-risk environments for venous thromboembolism.
  • Routine ultrasound screening of the venous system in legs is employed in MICU patients.
  • Understanding the incidence and distribution of leg thromboses is crucial for patient management.

Purpose:

  • To determine the incidence of previously undiagnosed leg thromboses in MICU patients.
  • To identify patient populations with a higher risk of developing thromboses.
  • To correlate ultrasound findings with autopsy results, including pulmonary embolism.

Summary:

  • Ultrasound revealed previously unknown leg thromboses in 11.4% of 542 MICU patients.
  • Thromboses were most prevalent in patients with malignant diseases (28.8%) and least common in myocardial infarction patients (3.7%).

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  • Autopsies in 87 patients showed 14 instances of pulmonary embolism, with eight cases having prior diagnosed venous thrombosis.

    • Impact:

    • Highlights the significant prevalence of deep vein thrombosis (DVT) in critically ill patients.
    • Identifies malignancy as a key risk factor for DVT in the ICU setting.
    • Underscores the utility of ultrasound in diagnosing DVT and its potential link to fatal pulmonary emboli.