The deep vein thrombosis (DVT) of the lower limbs is an important cause of mortality and morbidity.
The clinically suspected DVT should always be confirmed by instrumental procedures: about 70% of patients with clinically suspected DVT are negative on instrumental investigations.
Echocolor Doppler is the standard test for diagnosing clinically suspected DVT.
Echocolor Doppler diagnosis of DVT is based on noncompressibility of the vein and color/pulsed Doppler provides further information by evaluating blood flow.
Two possible diagnostic strategies are possible:
- compression ultrasound (CUS): simple CUS (CUS of the proximal veins) and complete CUS (CUS of the proximal and distal veins)
- complete echocolor Doppler study (complete study of the inferior vena cava, iliac veins, and lower limbs veins, with morphologic and functional assessment).
In this lesson will be presented theCUS and complete ecocolor Doppler role in the diagnosis of acute DVTand follow-up.
Franco Accorsi, MD
Member of the Order of Physician of Bologna n° 6728
I am a specialist in Medical Angiology and I am based in Bologna, Italy. Until 2008 (voluntary resignation) I worked at Maggiore Hospital in Bologna as "Dirigente Medico" in the Department of Internal Medicine and as Angiologist in the Angiology Unit with a position of "Alta Professionalità" in "Vascular Ecography and Angiology".
I am currently working in Bologna as an independent professional in the areas of angiology and vascular diagnostics.
I have been a speaker at national and international courses/congress and I have taught duplex ultrasound method in GIUV and SIUMB courses at the Maggiore Hospital, Bologna and courses of echocolor Doppler of extracranial and intracranial arteries at the Stroke Unit of S. Maria Nuova Hospital, Reggio Emilia.