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Lower-extremity venous ultrasound — past, present and future

  • Pediatric Ultrasound
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Abstract

Deep vein thrombosis is a frequent clinical concern and imaging request in the pediatric population. There has been increased awareness of deep venous thrombosis in the pediatric population and sonography is now utilized more liberally and frequently to evaluate for thrombosis in the extremities. In this review the author discusses various aspects of deep vein thrombosis in the lower extremity including the pathophysiology, background, and morbidity in children. The current ultrasound guidelines and techniques, and the controversy over treatment are discussed as well.

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References

  1. Sandoval JA, Sheehan MP, Stonerock CE (2008) Incidence, risk factors, and treatment patterns for deep venous thrombosis in hospitalized children: an increasing population at risk. J Vasc Surg 47:837–843

    Article  PubMed  Google Scholar 

  2. Vu LT, Nobuhara KK, Lee H et al (2008) Determination of risk factors for deep venous thrombosis in hospitalized children. J Pediatr Surg 43:1095–1099

    Article  PubMed  Google Scholar 

  3. Chalmers EA (2006) Epidemiology of venous thromboembolism in neonates and children. Thromb Res 118:3–12

    Article  CAS  PubMed  Google Scholar 

  4. Palareti G, Schellong S (2012) Isolated distal deep vein thrombosis: what we know and what we are doing. J Thromb Haemost 10:11–19

    Article  CAS  PubMed  Google Scholar 

  5. Lensing AW, Pradoni P, Brandjes D (1989) Detection of deep-vein thrombosis by real-time B-mode ultrasonography. N Engl J Med 320:342–345

    Article  CAS  PubMed  Google Scholar 

  6. Kearon C, Akl EA, Omelas J et al (2016) Antithrombotic therapy for venous thromboembolic disease: CHEST guideline and expert panel report. Chest 149:315–352

    Article  PubMed  Google Scholar 

  7. American College of Radiology (2015) ACR-AIUM-SPR-SRU practice parameter for the performance of peripheral venous ultrasound examination https://www.acr.org/~/media/ACR/Documents/PGTS/guidelines/US_Peripheral_Venous.pdf. Accessed 2 June 2017

  8. Righini M (2007) Is it worth diagnosing and treating distal deep vein thrombosis? No. J Thromb Haemost 5:55–59

    Article  PubMed  Google Scholar 

  9. Schellong SM (2007) Distal DVT: worth diagnosing? Yes. J Thromb Haemost 5:51–54

    Article  PubMed  Google Scholar 

  10. Jayaraj A, Zierler B, Meissner M (2012) Calf deep vein thrombosis: current trends in management. J Vasc Surg 55:65S–66S

    Article  Google Scholar 

  11. Masuda EM, Kistner RL, Musikasinthorn C (2012) The controversy of managing calf vein thrombosis. J Vasc Surg 55:550–561

    Article  PubMed  Google Scholar 

  12. Lohr JM, James KV, Deshmukh RM (1995) Calf vein thrombi are not a benign finding. Am J Surg 170:86–90

    Article  CAS  PubMed  Google Scholar 

  13. McLafferty RB, Moneta GL, Passman MA (1998) Late clinical and hemodynamic sequelae of isolated calf vein thrombosis. J Vasc Surg 27:50–56

    Article  CAS  PubMed  Google Scholar 

  14. Meissner MH, Caps MT, Bergelin RO (1997) Early outcome after isolated calf vein thrombosis. J Vasc Surg 26:749–756

    Article  CAS  PubMed  Google Scholar 

  15. Philbrick JT, Becker DM (1988) Calf deep venous thrombosis. A wolf in sheep’s clothing? Arch Intern Med 148:2131–2138

    Article  CAS  PubMed  Google Scholar 

  16. Palareti G, Cosmi B, Lessiani G (2010) Evolution of untreated calf deep-vein thrombosis in high risk symptomatic outpatients: the blind, prospective CALTHRO study. Thromb Haemost 104:1063–1070

    Article  CAS  PubMed  Google Scholar 

  17. Schwarz T, Buschmann L, Beyer J et al (2010) Therapy of isolated calf muscle vein thrombosis: a randomized, controlled study. J Vasc Surg 52:1246–1250

    Article  PubMed  Google Scholar 

  18. Righini M, Paris S, LeGal G (2006) Clinical relevance of distal deep vein thrombosis — review of literature data. Thromb Haemost 95:56–64

    CAS  PubMed  Google Scholar 

  19. Kearon C, Ginsberg JS, Hirsh J (1998) The role of venous ultrasonography in the diagnosis of suspected deep venous thrombosis and pulmonary embolism. Ann Intern Med 128:663–677

    Article  CAS  PubMed  Google Scholar 

  20. Bernardi E, Camporese G, Buller HR (2008) Serial 2-point ultrasonography plus D-dimer vs whole-leg color-coded Doppler ultrasonography for diagnosing suspected symptomatic deep vein thrombosis: a randomized controlled trial. JAMA 300:1653–1659

    Article  CAS  PubMed  Google Scholar 

  21. Gibson NS, Schellong SM, Kheir DY (2009) Safety and sensitivity of two ultrasound strategies in patients with clinically suspected deep venous thrombosis: a prospective management study. J Thromb Haemost 7:2035–2041

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Hofstra-Northwell School of Medicine, 270-05 76th Ave., New Hyde Park, NY, 11040, USA

    Rachelle Goldfisher

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  1. Rachelle Goldfisher
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Correspondence to Rachelle Goldfisher.

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The author has no financial interests, investigational or off-label uses to disclose.

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Goldfisher, R. Lower-extremity venous ultrasound — past, present and future. Pediatr Radiol 47, 1209–1213 (2017). https://doi.org/10.1007/s00247-017-3933-7

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  • DOI: https://doi.org/10.1007/s00247-017-3933-7

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