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Venous duplex ultrasound protocol for iliocaval disease
Jan Sloves1, Jose Ignacio Almeida2
1Department of Cardiology, Mount Sinai Downtown, New York, NY.
Journal of Vascular Surgery. Venous and Lymphatic Disorders
|October 20, 2018
Summary
Venous duplex ultrasound offers advanced imaging for iliac veins and vena cava, despite slow adoption. Further studies are needed to compare it with intravascular ultrasound and assess clinical outcomes.
Area of Science:
- Vascular Imaging
- Medical Ultrasound
- Diagnostic Techniques
Background:
- Venous duplex ultrasound of the retroperitoneal iliac veins and vena cava is underutilized.
- Advancements in ultrasound technology provide greater penetration and enhanced image resolution.
Purpose of the Study:
- To highlight the potential of current ultrasound technology for evaluating the femoral-iliocaval outflow tract.
- To emphasize the need for further research comparing duplex ultrasound with intravascular ultrasound and assessing clinical outcomes.
Main Methods:
- Utilizing gray-scale, color flow, and pulsed wave Doppler modalities for evaluation.
- Employing advanced tools like chroma tint, power Doppler, and penetration harmonics for image optimization.
Main Results:
- Current ultrasound technology enables improved depth penetration and image resolution for venous imaging.
- Specific Doppler modalities and optimization tools are effective for assessing the femoral-iliocaval outflow tract.
Conclusions:
- Duplex ultrasound techniques show promise for retroperitoneal venous evaluation.
- Formal studies are required to correlate duplex ultrasound findings with intravascular ultrasound and evaluate patient outcomes.
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