The superficial vein thrombosis (SVT) of the lower limbs is an inflammatory-thrombotic pathology in which a thrombus develops in the saphenous veins or its tributaries.
It is needed to distinguish the SVT on varicose or on nonvaricose veins as well as its proximal (above-knee) or distal localization (below-knee) for prognostic and therapeutic implications.
The clinical findings can be used to establish the diagnosis but they are not reliable in determining in most cases: a) the proximal extent of SVT (the thrombus usually extends beyond the area of clinical involvement); b) whether the SVT is associated with deep vein thrombosis (DVT).
So further tests are required: the echocolor Doppler is the diagnostic tool of choice in the detection of SVT and can be used routinely for serial evaluation to document any disease progression or resolution.
In this lesson the echocolor Doppler role is presented for the diagnosis of the SVT (in acute phase and follow up) and for the diagnosis of the SVT associated with occult DVT.
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.