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Updated: Feb 25, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Lower-extremity venous ultrasound - past, present and future
1Department of Radiology, Hofstra-Northwell School of Medicine, 270-05 76th Ave., New Hyde Park, NY, 11040, USA. rgoldfishe@northwell.edu.
Insights
Deep vein thrombosis (DVT) is a growing concern in children, with ultrasound increasingly used for diagnosis. This review covers DVT in pediatric lower extremities, including causes, risks, and treatment debates.
Area of Science:
- Pediatric Radiology
- Vascular Ultrasound
- Pediatric Thrombosis
Background:
- Deep vein thrombosis (DVT) presents a significant clinical challenge in pediatric patients.
- Increased awareness has led to more frequent use of sonography for evaluating extremity thrombosis in children.
- Understanding DVT's specific aspects in pediatrics is crucial for timely diagnosis and management.
Purpose of the Study:
- To review the pathophysiology, background, and morbidity of lower extremity deep vein thrombosis in children.
- To discuss current ultrasound guidelines and techniques for pediatric DVT evaluation.
- To explore the ongoing controversies regarding the treatment of pediatric deep vein thrombosis.
Main Methods:
- Literature review focusing on pediatric deep vein thrombosis.
- Analysis of current diagnostic ultrasound protocols and techniques.
- Synthesis of information on pediatric DVT pathophysiology, clinical presentation, and outcomes.
Main Results:
- Deep vein thrombosis is a recognized clinical issue in the pediatric population.
- Sonography is a primary imaging modality for diagnosing DVT in pediatric extremities.
- The review highlights the complexities of DVT in children, including treatment considerations.
Conclusions:
- Pediatric deep vein thrombosis requires careful evaluation and management.
- Standardized ultrasound techniques are essential for accurate diagnosis.
- Further research and consensus are needed to address treatment controversies in pediatric DVT.
Abstract:
Deep vein thrombosis is a frequent clinical concern and imaging request in the pediatric population. There has been increased awareness of deep venous thrombosis in the pediatric population and sonography is now utilized more liberally and frequently to evaluate for thrombosis in the extremities. In this review the author discusses various aspects of deep vein thrombosis in the lower extremity including the pathophysiology, background, and morbidity in children. The current ultrasound guidelines and techniques, and the controversy over treatment are discussed as well.
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