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Updated: Jun 8, 2025
Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Peripheral Venous Ultrasound.
Laurence Needleman1, Rick Feld1
1Department of Radiology, Sidney Kimmel Medical College, Thomas Jefferson University, Thomas Jefferson University Hospital, 132 South 10 Street, Suite 763 Main, Philadelphia, PA 19107, USA.
Venous duplex ultrasound is the standard for diagnosing deep vein thrombosis (DVT) and evaluating chronic venous disease. This imaging technique assesses upper and lower extremity veins for normal, acute, or chronic changes.
Area of Science:
- Vascular Medicine
- Diagnostic Imaging
- Medical Ultrasound
Background:
- Deep vein thrombosis (DVT) requires accurate diagnostic methods.
- Clinical prediction rules aid in appropriate test ordering.
- Venous duplex ultrasound is established for DVT evaluation.
Purpose of the Study:
- To outline the role and application of venous duplex ultrasound.
- To describe protocols for evaluating venous conditions.
- To detail the characterization of thrombosis using ultrasound.
Main Methods:
- Venous duplex ultrasound utilizing grayscale, color Doppler, and spectral Doppler.
- Application to lower- and upper-extremity veins.
- Protocols for central leg and calf veins.
Main Results:
- Ultrasound effectively evaluates and excludes DVT.
- It is useful for assessing chronic venous disease and reflux.
- Venous mapping for surgical planning is a key indication.
- Ultrasound can characterize findings as normal, acute DVT, superficial thrombosis, or chronic changes.
Conclusions:
- Venous duplex ultrasound is the standard for DVT diagnosis.
- It plays a vital role in managing chronic venous disease.
- Ultrasound provides comprehensive characterization of venous thrombosis and related conditions.
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