Prevalence Rate of Ultrasonography for Detection of Deep Vein Thrombosis

  • Yamasaki Saeko
    Department of Cardiovascular Medicine, Shinshu University School of Medicine
  • Miura Takashi
    Nagano Municipal Hospital
  • Senda Keisuke
    Department of Cardiovascular Medicine, Shinshu University School of Medicine
  • Sakai Takahiro
    Department of Cardiovascular Medicine, Shinshu University School of Medicine
  • Oguchi Yasutaka
    Department of Cardiovascular Medicine, Shinshu University School of Medicine
  • Kato Tamon
    Department of Cardiovascular Medicine, Shinshu University School of Medicine
  • Saigusa Tatsuya
    Department of Cardiovascular Medicine, Shinshu University School of Medicine
  • Ebisawa Soichiro
    Department of Cardiovascular Medicine, Shinshu University School of Medicine
  • Okada Ayako
    Department of Cardiovascular Medicine, Shinshu University School of Medicine
  • Motoki Hirohiko
    Department of Cardiovascular Medicine, Shinshu University School of Medicine
  • Kuwahara Koichiro
    Department of Cardiovascular Medicine, Shinshu University School of Medicine

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Other Title
  • 深部静脈血栓症を疑って施行された下肢静脈超音波検査の有病率に関する検討

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Abstract

<p>Background: Pulmonary thromboembolism is often complicated by deep vein thrombosis (DVT), however a part of cases are asymptomatic. It is important early detection for asymptomatic DVT. Methods: Of the 108 consecutive patients undergoing venous ultrasonography (US) between January and April 2016, we enrolled 80 patients without previous venous US. Result: DVT was observed in 29 patients (36.2%). Twenty eight patients (35%) had malignant disease and 17 patients (21.3%) had immobility in all patients. Medical history of heart failure was more prevalent in patients with DVT compared with patients without DVT (6 patients (20.6%) vs 2 patients (3.9%), p=0.024). Conclusion: D-dimer was recommended for DVT screening but it had a problem with high false positive value. We needed evaluation of combination of D-dimer and other examinations.</p>

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