Proximal deep vein thrombosis: the use of the echoDoppler for diagnosis and therapeutic indications.
Our objective was to assess the impact of echo-Doppler technique on the diagnosis of Deep Vein Thrombosis (DVT) in major orthopedic surgery (80% of DVT diagnosed are asymptomatic). We therefore analyzed 200 consecutive pts submitted to elective surgery for total hip replacement. The postoperative echo-Doppler study indicated DVT in 13 pts: these pts underwent a postoperative lower limb phlebography. Echo-Doppler and phlebography had concordant results in 11 of 13 echo assessed proximal DVT. These observations suggest that Duplex scanning is a good method to diagnose and to guide therapy for proximal DVT in orthopaedic clinic.
Bombardini
T
T
Servizio di Anestesia e Rianimazione, Istituti Ortopedici Rizzoli, Bologna.
Borghi
B
B
Mattioli
R
R
Figus
E
E
D000925:Anticoagulants / Q000627:therapeutic use*; D006622:Hip Prosthesis; D006801:Humans; D010690:Phlebography; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000517:prevention & control; D011877:Radionuclide Imaging; D013924:Thrombophlebitis / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D018608:Ultrasonography, Doppler
D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors