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Incremental value of compression ultrasound sonography in the emergency department

The quick evaluation of venous thromboembolism is a key point of modern medicine since the delayed diagnosis is associated with a worse prognosis. Venous ultrasound (VU) is a sensitive and rapidly performed test in cases of suspected deep venous thrombosis. Various protocols have been proposed for i...

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Autores principales: Di Vilio, Alessandro, Vergara, Andrea, Desiderio, Alfonso, Iodice, Franco, Serio, Alessandro, Palermi, Stefano, Gambardella, Francesco, Sperlongano, Simona, Gioia, Renato, Acitorio, Maria, D'Andrea, Antonello
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462022/
https://www.ncbi.nlm.nih.gov/pubmed/34616656
http://dx.doi.org/10.5492/wjccm.v10.i5.194
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author Di Vilio, Alessandro
Vergara, Andrea
Desiderio, Alfonso
Iodice, Franco
Serio, Alessandro
Palermi, Stefano
Gambardella, Francesco
Sperlongano, Simona
Gioia, Renato
Acitorio, Maria
D'Andrea, Antonello
author_facet Di Vilio, Alessandro
Vergara, Andrea
Desiderio, Alfonso
Iodice, Franco
Serio, Alessandro
Palermi, Stefano
Gambardella, Francesco
Sperlongano, Simona
Gioia, Renato
Acitorio, Maria
D'Andrea, Antonello
author_sort Di Vilio, Alessandro
collection PubMed
description The quick evaluation of venous thromboembolism is a key point of modern medicine since the delayed diagnosis is associated with a worse prognosis. Venous ultrasound (VU) is a sensitive and rapidly performed test in cases of suspected deep venous thrombosis. Various protocols have been proposed for its execution, such as the study of the whole deep venous circulation of the lower limb or the analysis of the femoral-popliteal area. The aim is to detect a vessel thrombus and the most sensitive element is the non-compressibility with the probe. Initially, the thrombus is hypoechogenic and adherent to the vessel; later, it tends to organize and recanalize. Usually, in the early stages, the risk of embolism is higher. The role of studying the iliac axis and calf veins is still uncertain. VU is not useful for assessing response to anticoagulation therapy and it is unclear whether the persistence of thrombotic abnormalities can guide on a possible prolongation of therapy.
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spelling pubmed-84620222021-10-05 Incremental value of compression ultrasound sonography in the emergency department Di Vilio, Alessandro Vergara, Andrea Desiderio, Alfonso Iodice, Franco Serio, Alessandro Palermi, Stefano Gambardella, Francesco Sperlongano, Simona Gioia, Renato Acitorio, Maria D'Andrea, Antonello World J Crit Care Med Minireviews The quick evaluation of venous thromboembolism is a key point of modern medicine since the delayed diagnosis is associated with a worse prognosis. Venous ultrasound (VU) is a sensitive and rapidly performed test in cases of suspected deep venous thrombosis. Various protocols have been proposed for its execution, such as the study of the whole deep venous circulation of the lower limb or the analysis of the femoral-popliteal area. The aim is to detect a vessel thrombus and the most sensitive element is the non-compressibility with the probe. Initially, the thrombus is hypoechogenic and adherent to the vessel; later, it tends to organize and recanalize. Usually, in the early stages, the risk of embolism is higher. The role of studying the iliac axis and calf veins is still uncertain. VU is not useful for assessing response to anticoagulation therapy and it is unclear whether the persistence of thrombotic abnormalities can guide on a possible prolongation of therapy. Baishideng Publishing Group Inc 2021-09-09 /pmc/articles/PMC8462022/ /pubmed/34616656 http://dx.doi.org/10.5492/wjccm.v10.i5.194 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Minireviews
Di Vilio, Alessandro
Vergara, Andrea
Desiderio, Alfonso
Iodice, Franco
Serio, Alessandro
Palermi, Stefano
Gambardella, Francesco
Sperlongano, Simona
Gioia, Renato
Acitorio, Maria
D'Andrea, Antonello
Incremental value of compression ultrasound sonography in the emergency department
title Incremental value of compression ultrasound sonography in the emergency department
title_full Incremental value of compression ultrasound sonography in the emergency department
title_fullStr Incremental value of compression ultrasound sonography in the emergency department
title_full_unstemmed Incremental value of compression ultrasound sonography in the emergency department
title_short Incremental value of compression ultrasound sonography in the emergency department
title_sort incremental value of compression ultrasound sonography in the emergency department
topic Minireviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462022/
https://www.ncbi.nlm.nih.gov/pubmed/34616656
http://dx.doi.org/10.5492/wjccm.v10.i5.194
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