ISSN: 2327-4972
+44-77-2385-9429
Zsolt Pecsvarady
Italy
Research Article
Novel Evidence-Based Diagnosis, Classification and Management of Lower Extremity Deep Vein Thrombosis (DVT), Prevention of DVT Recurrence and the Post-Thrombotic Syndrome: Personal Experiences and Critical Appraisal of the Literature 1998-2018
Author(s): Jan Jacques Michiels, Wim Moossdorff, Janneke Maria Michiels, Mildred Lao, Hanny Maasland, Hans Smeets, Ming Han, Benilde Cosmi, Petr Dulicek, Karel Roztocil, Viera Stvrtinova, Ludovit Gaspar, Zsolt Pecsvarady and Pier LuigiJan Jacques Michiels, Wim Moossdorff, Janneke Maria Michiels, Mildred Lao, Hanny Maasland, Hans Smeets, Ming Han, Benilde Cosmi, Petr Dulicek, Karel Roztocil, Viera Stvrtinova, Ludovit Gaspar, Zsolt Pecsvarady and Pier Luigi
Background: Two point CUS (2-CUS) for the diagnosis of symptomatic proximal DVT overlooks calf vein thrombosis (CVT) indicating the need to repeat 2-CUS after one week, which is not cost-effective. Complete CUS (CCUS) of all deep veins from the groin to the ankle in a single procedure will pick up CVT, proximal DVT and isolated ileo femoral DVT plus alternative diagnoses, which is cost-effective.
Methodology: We evaluated the combined use of non-invasise 2-CUS versus complete compression ultrasonography (CCUS) and quantitative Elisa D-dimer levels (500, 1000 and 1500 ng/mL) in prospective large management studies between 1998 and 2018 in view of the literature on DVT diagnosis and prevention of DVT recurrence and the post-thrombotic syndrome.
Results: Complete compression ultrasonography (CCUS) followed by a sensit.. View More»
DOI:
10.4172/2327-4972.1000230