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Bildgebende Diagnostik von Erkrankungen der Venen

Teil I: Methoden der Venendiagnostik und Diagnostik der Thrombose

Diagnostic imaging of venous disease

Part I: methods in the diagnosis of veins and thrombosis

Der Radiologe volume 48, pages 977–992 (2008)Cite this article

Zusammenfassung

Erkrankungen des Venensystems betreffen große Teile der Bevölkerung. Verschiedene bildgebende Verfahren stehen in der Diagnostik zur Verfügung. Unter diesen ist die Sonographie, ergänzt durch die farbkodierte Duplexsonographie, die Methode der Wahl. Dies gilt insbesondere für die häufigsten Venenerkrankungen: die Phlebothrombose und die Varicosis. Die Kompressionssonographie weist bei symptomatischen Patienten eine hohe Sensitivität und Spezifität in der Diagnostik der Thrombose der tiefen Venen der oberen und unteren Extremität auf. Die Phlebographie stellt trotz der Bedeutung der Sonographie auch zum gegenwärtigen Zeitpunkt noch eine wichtige Methode in der Diagnostik von Venenerkrankungen dar. Die Computertomographie wird überwiegend für die Diagnostik der Körperstammvenen eingesetzt. Die MR-Phlebographie hat bislang keinen breiten Einsatz in der Routinediagnostik der Venen finden können.

Abstract

Diseases of the venous system are common. A variety of diagnostic imaging methods are available. Of these, ultrasound with color-coded duplex sonography is the preferred method in the diagnosis of vein diseases, especially in patients with suspected deep venous thrombosis (DVT) and varicosis. Compression sonography is a very accurate test in the diagnosis of DVT of the lower and upper extremities in symptomatic patients. Still today, phlebography is an important tool in the diagnosis of venous diseases. Computed tomography (CT) plays an important role in disorders of the superior and inferior vena cava and of the iliac vein. Today, the role of MR venography in vein diseases is limited.

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Affiliations

  1. Institut für Radiologie und Interventionelle Therapie, Vivantes Humboldt-Klinikum, Am Nordgraben 2, 13509, Berlin, Deutschland

    K. Krüger

  2. Institut für Röntgendiagnostik, Helios Klinikum Berlin-Buch, Berlin, Deutschland

    J. Wildberger

  3. Klinik für diagnostische und interventionelle Radiologie, Helios Klinikum Wuppertal, Wuppertal, Deutschland

    P. Haage

  4. Klinik für Diagnostische und Interventionelle Radiologie, Diakoniekrankenhaus Henriettenstiftung, Hannover, Deutschland

    P. Landwehr

Authors
  1. K. Krüger
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  2. J. Wildberger
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  3. P. Haage
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  4. P. Landwehr
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Correspondence to K. Krüger.

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Krüger, K., Wildberger, J., Haage, P. et al. Bildgebende Diagnostik von Erkrankungen der Venen. Radiologe 48, 977–992 (2008). https://doi.org/10.1007/s00117-008-1725-7

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  • DOI: https://doi.org/10.1007/s00117-008-1725-7

Schlüsselwörter

  • Venen
  • Sonographie
  • Farbkodierte Duplexsonographie
  • Thrombose
  • Phlebographie
  • Computertomographie

Keywords

  • Veins
  • Ultrasound
  • Color-coded duplex sonography
  • Thrombosis
  • Venography
  • Computed tomography