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[Venous Doppler ultrasonography. Methods, indications and limits].

F Dany, M Kim, P Brutus

    Archives Des Maladies Du Coeur Et Des Vaisseaux
    |July 1, 1981
    PubMed
    Summary

    Doppler ultrasonography offers valuable insights into venous pathology, aiding in early diagnosis of venous thrombosis and monitoring treatment effectiveness. While effective, it has limitations in detecting distal or incomplete clots.

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    Area of Science:

    • Vascular Medicine
    • Diagnostic Imaging

    Context:

    • Doppler ultrasonography has potential applications in venous pathology beyond velocity analysis.
    • Conventional methods for diagnosing venous thrombosis have limitations.

    Purpose:

    • To evaluate the effectiveness of Doppler ultrasonography in diagnosing venous thrombosis and assessing venous pathology.
    • To compare Doppler findings with phlebography and isotope venography.

    Summary:

    • Doppler ultrasonography demonstrated an 86.5% correlation with phlebography in 110 venous thrombosis cases (86% sensitivity, 91% specificity).
    • It showed 90% correlation with isotope venography for vena cava clip permeability (75% sensitivity, 100% specificity for clip thrombosis).
    • Limitations include reduced sensitivity for distal thrombosis and non-occlusive thrombi.

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    Impact:

    • Doppler ultrasonography serves as a sensitive and effective non-invasive tool for surveillance, particularly postoperatively.
    • It complements other non-invasive methods and helps guide the need for phlebography in high-risk patients.