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Journal of Ultrasound in Medicine, Vol 5, Issue 2 89-95, Copyright © 1986 by American Institute of Ultrasound in Medicine
Deep venous thrombosis: detection by probe compression of veins
B. N. Raghavendra, S. C. Horii, S. Hilton, B. R. Subramanyam, R. J. Rosen and S. Lam
The sonographic detection of echogenic, soft-tissue mass within the veins
of the lower extremities assures the diagnosis of deep venous thrombosis
(DVT). However, the sonographic diagnosis remains inconclusive when fresh
thrombus and/or artifacts are present within the lumen of the vein. The
present study attempts to augment the clinical utility of real-time
sonography in the detection of DVT, based on the premise that total
obliteration of the vein lumen by probe compression should not be possible
in the presence of venous thrombi. Sonography and contrast venography of
the lower extremity were performed in 20 patients with clinical suspicion
of DVT. The presence of thrombi was confirmed in 14 patients. Probe
compression failed to obliterate the lumen of the veins containing thrombi.
The authors conclude that the technique of probe compression is useful for
rapid and noninvasive detection of venous thrombi.
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