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Updated: Sep 14, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
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[Diagnosis of arterial vascular diseases of the lower extremities with color-coded duplex sonography]

H C Koennecke1, G Fobbe, M M Hamed

  • 1Klinik für Radiologie, Abteilung für Röntgendiagnostik, FU Berlin, Klinikum Steglitz.

Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|July 1, 1989
PubMed

Insights

Colour-coded duplex sonography accurately evaluates chronic arterial disease in lower extremities. This noninvasive method shows significant improvement over traditional duplex sonography for diagnosing vascular lesions.

Area of Science:

  • Vascular Medicine
  • Diagnostic Imaging
  • Medical Technology

Background:

  • Chronic arterial disease affects lower extremities, necessitating accurate diagnostic tools.
  • Traditional duplex sonography has limitations in evaluating complex vascular lesions.
  • Arteriography is an invasive standard but carries risks.

Purpose of the Study:

  • To assess the diagnostic accuracy of colour-coded duplex sonography (CCDS) in patients with chronic arterial disease.
  • To compare CCDS findings with arteriography in evaluating lower extremity vasculature.
  • To determine the effectiveness of CCDS as a noninvasive diagnostic method.

Main Methods:

  • Fifty-three patients with chronic arterial disease underwent examination using CCDS.
  • Results from CCDS were compared with findings from conventional arteriography.
  • Direct vessel visualization was used for comparison where possible.

Main Results:

  • Complete agreement between CCDS and arteriography was observed for lesion localization and severity in directly visualized vessels.
  • Minor difficulties were encountered in evaluating distal high-grade stenoses and occlusions with CCDS.
  • CCDS demonstrated rapid and accurate evaluation of lower extremity vessels.

Conclusions:

  • Colour-coded duplex sonography is a highly accurate noninvasive tool for evaluating lower extremity arterial disease.
  • CCDS offers significant diagnostic improvements compared to traditional duplex sonography.
  • This technique enhances the noninvasive assessment of vascular lesions in the lower limbs.

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