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Duplexsonographie der oberflächlichen und der tiefen Venen

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Praxis der angiologischen Diagnostik

Zusammenfassung

Aufgrund der bisher bekannten Daten braucht es heute nicht mehr bewiesen zu werden, daß die klinische Untersuchung bei Krankheiten des oberflächlichen und des tiefen Venensystems vor allem der unteren Extremitäten zur Festlegung der adäquaten Therapie ungenügend ist. Zum Beispiel kann bei klinischem Verdacht auf eine tiefe Venenthrombose diese Diagnose nur bei 30% der Fälle gesichert werden [7, 19]. Es wurde deshalb immer wieder nach technischen Untersuchungsmethoden gesucht, um die klinischen Befunde zu objektivieren.

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Literatur

  1. Barnes RW (1986) Doppler techniques for lower-extremity venous disease. In: Zwiebel WJ (ed) Introduction to vascular ultrasonography. Grune & Stratton, Orlando, pp 333–350

    Google Scholar 

  2. Becker DM, Philbrick JT, Abbit PL (1989) Real-time ultrasonography for the diagnosis of lower extremity deep venous thrombosis. The wave of the future? Arch Intern Med 149:1731–1734

    Article  PubMed  CAS  Google Scholar 

  3. Bork-Wolwer L, Wuppermann T (1989) Duplexsonographie der primären Varikosis. VASA [Suppl] 27: 149

    CAS  Google Scholar 

  4. Bygdeman S, Aschberg S, Hindmarsch T (1971) Venous plethysmography in the diagnosis of chronic venous insufficiency. Acta Clin Scand 137: 423–428

    CAS  Google Scholar 

  5. Christopoulos D, Nicolaides AN, Szendro G (1988) Venous reflux: quantification and correlation with the clinical severity of chronic venous disease. Br J Surg 75: 352–356

    Article  PubMed  CAS  Google Scholar 

  6. Comerota AJ, Katz ML, Greenwald LL, Leefmans E, Czeredarczuk M, White JV (1990) Venous duplex imaging: should it replace hemodynamic tests for deep venous thrombosis? J Vasc Surg 11: 53–61

    PubMed  CAS  Google Scholar 

  7. Cranley JJ, Canos AJ, Sull WJ (1976) The diagnosis of deep venous thrombosis: fallibility of clinical symptoms and signs. Arch Surg 111: 34–36

    Article  PubMed  CAS  Google Scholar 

  8. Cronan JJ, Dorfmann GS, Scola FH et al. (1987) Deep venous thrombosis: US assessement using vein compression. Radiology 163: 747–751

    Google Scholar 

  9. Dauzat M, Laroche JP, Charras C et al. (1986) Realtime B-Mode ultrasonography for better specificity in the noninvasive diagnosis of deep venous thrombosis. J Ultrasound Med 5:625–631

    PubMed  CAS  Google Scholar 

  10. Effeney DJ, Friedman MB, Gooding GAW (1984) Iliofemoral venous thrombosis: Real-time ultrasound diagnosis, normal criteria and clinical application. Radiology 150: 787–792

    PubMed  CAS  Google Scholar 

  11. Do DD, Mahler F (1991) „Mapping“ von oberflächlichen Venen zum Gefäßersatz mit Duplexultraschall. Ther Umsch 48: 708–714

    PubMed  CAS  Google Scholar 

  12. Eichlisberger R, Huber P, Jäger K (1989) Duplexsonographie der Vena poplitea unter physiologischen Bedingungen und nach intravenöser Gabe von Dihydroergotamin (DHE). VASA 18: 221–226

    PubMed  CAS  Google Scholar 

  13. Eichlisberger R, Jäger K (1991) Place de l’echo-doppler (duplex) en pathologie veineuse. Med Hyg 49: 160–167

    Google Scholar 

  14. Elias A, Le Corff G, Bouvier JL, Benichou M, Serradimigni A (1987) Value of real-time B-mode ultrasound imaging in the diagnosis of deep vein thrombosis of the lower limbs. Inter Angio 6: 175–182

    CAS  Google Scholar 

  15. Fischer R (1990) Die chirurgische Behandlung der Varizen. Grundlagen und heutiger Stand. Schweiz Rundsch Med Praxis 79: 155–167

    CAS  Google Scholar 

  16. Grassi CJ, Polak JF (1990) Axillary and subclavian venous thrombosis: follow-up evaluation with color Doppler flow US and venography. Radiology 175: 651–654

    PubMed  CAS  Google Scholar 

  17. Hanrahan LM, Araki GT, Fischer JB et al. (1991) Evaluation of the perforating veins of the low extremity using high resolution duplex imaging. J Cardiovasc Surg 32: 87–97

    CAS  Google Scholar 

  18. Hillner BE, Philbrick JP, Becker DM (1992) Optimal management of suspected lower extremity deep vein thrombosis. An evaluation with cost assessment of 24 management strategies. Arch Intern Med 152: 165–175

    Article  PubMed  CAS  Google Scholar 

  19. Hirsh J, Hull RD, Raskob GE (1986) Clinical features and diagnosis of venous thrombosis. J Am Coll Cardiol 8: 114B–127B

    Article  PubMed  CAS  Google Scholar 

  20. Horattas MC, Wright DJ, Fenton AH et al. (1988) Changing concepts of deep venous thrombosis of the upper extremity: report of a series and review of the literature. Surgery 104: 561–567

    PubMed  CAS  Google Scholar 

  21. Huber P, Zuber M, Schmitt HE, Pfisterer M, Stulz P, Jäger K (1989) Funktionskontrolle von Vena-Cava-Filtern mittels Duplexsonographie. VASA [Suppl] 27: 135–136

    CAS  Google Scholar 

  22. Hübsch PJS, Stiglbauer RL, Schwaighofer BWAM, Kainberger FM, Barton PPA (1988) Internal jugular and subclavian vein thrombosis caused by central venous catheters: evaluation using. Doppler blood flow imaging. J Ultrasound Med 7: 629–636

    PubMed  Google Scholar 

  23. Jäger K, Bollinger A (1990) Duplexsonographie der Extremitätenvenen und der Beckenvenen. In: Kriessmann A, Bollinger A, Keller H (Hrsg) Praxis der Dopplersonographie. Thieme, Stuttgart

    Google Scholar 

  24. Knighton R, Priest D, Zwiebel W et al. (1990) Techniques for color flow sonography of the lower extremity. Radio-Graphics 10: 775–786

    CAS  Google Scholar 

  25. Knudson GJ, Wiedmeyer DA, Erickson SJ et al. (1990) Color Doppler sonographic imaging in the assessment of upper extremity deep venous thrombosis. AJR 154: 399–403

    PubMed  CAS  Google Scholar 

  26. Lensing AWA, Prandoni P, Brandjes D et al. (1989) Detection of deep vein thrombosis by realtime B-mode ultrasonography. N Engl J Med 320: 341–345

    Article  Google Scholar 

  27. Marshall M (1989) Phlebologische Indikationen zur Duplexsonographie. Fortschr Med 107: 325–329

    PubMed  CAS  Google Scholar 

  28. Mattos MA, Londrey GL, Leutz DW, Hodgson KJ (1992) Color-flow duplex scanning for the surveillance and diagnosis of acute deep venous thrombosis. J Vasc Surg 15: 366–376

    Article  PubMed  CAS  Google Scholar 

  29. Murphy TP, Cronan JJ (1990) Evolution of deep venous thrombosis: a prospective evaluation with US. Radiology 117: 543–548

    Google Scholar 

  30. Needleman L (1991) Peripheral venous US. In: Syllabus: Special course Ultrasound 1991, Seventy-Seventh Scientific Assembly and Annual Meeting of the Radiological Society of North America, pp 201–210

    Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  32. Polak JF (1992) Venous thrombosis. In: Peripheral vascular sonography. Williams and Wilkins (eds) Baltimore

    Google Scholar 

  33. Raghavendra BN, Horii SC, Hilton S et al. (1986) Deep venous thrombosis: Detection by probe compression of veins. J Ultrasound Med 5: 89–95

    PubMed  CAS  Google Scholar 

  34. Rose SC, Zwiebel WJ, Miller FJ (1989) Accuracy of colorflow duplex sonography for diagnosis of lower extremety deep venous thrombosis. Presented at the Seventy-Fifth Scientific Assembly of the Radiological Society of North America, Chicago, November 25- December 1989

    Google Scholar 

  35. Schmitt HE (1972) Aszendierende Phlebographie bei tiefer Venenthrombose. Huber, Bern

    Google Scholar 

  36. Scott HJ, McMullin GM, Coleridge-Smith PD, Scurr JH (1990) Venous disease: investigation and treatment, fact or fiction? Ann R Coll Surg Engl 72: 188–192

    PubMed  CAS  Google Scholar 

  37. Sevitt S, Gallagher NG (1961) Venous thrombosis and pulmonary embolism. A clinico-pathological study in injured and burned patients. Br J Surg 48: 475–489

    Article  PubMed  CAS  Google Scholar 

  38. Talbot SR (1988) B-Mode evaluation of peripheral veins. Semin Ultrasound CT MR 9: 295–319

    PubMed  CAS  Google Scholar 

  39. Taylor KJW, Scott H (1990) Doppler US part I. Basic principles, instrumentation and pittfalls. Radiology 174: 297–307

    PubMed  CAS  Google Scholar 

  40. Scout LM, Zawin ML, Taylor KJW (1990) Doppler US part II. Clinical applications. Radiology 174: 309–319

    Google Scholar 

  41. Vaccaro JP, Cronan JJ, Dorfman GS (1990) Outcome analysis of patients with normal compression US examinations. Radiology 175: 645–649

    PubMed  CAS  Google Scholar 

  42. Van Bemmelen PS, Beach K, Bedford G et al. (1990) The mechanism of venous valve closure. Its relationship to velocity of reverse flow. Arch Surg 125: 617–619

    Article  PubMed  Google Scholar 

  43. Van Bemmelen PS, Bedford G, Beach K et al. (1989) Quantitative segmental evaluation of venous valvular reflux with duplex ultrasound scanning. J Vasc Surg 10/4: 425–431

    PubMed  Google Scholar 

  44. Vasdekis SN, Clarke GH, Nicolaides AN (1989) Quantification of venous reflux by means of duplex scanning. J Vasc Surg 10: 670–677

    PubMed  CAS  Google Scholar 

  45. Wheeler HB, Anderson FA (1987) Impedance plethysmography. In: Kempczinski RF, Yao JST (eds) Practical noninvasive vascular diagnosis, 2nd edn. Year Book Medical, Chicago

    Google Scholar 

  46. White RH, McGahan JP, Daschbach MM, Hartling RP (1989) Diagnosis of deep vein thrombosis using duplex ultrasound. Ann Intern Med 111: 297–304

    PubMed  CAS  Google Scholar 

  47. Wright DJ, Shepard AD, McPharlin M, Ernst CB (1990) Pitfalls in lower extremity venous duplex scanning. J Vasc Surg 11: 675–679

    PubMed  CAS  Google Scholar 

  48. Yao JST, Blackburn D (1987) Doppler venous survey. In: Kempczinski RF, Yao JST (eds) Practical noninvasive vascular diagnosis, 2nd edn. Year Book Medical, Chicago

    Google Scholar 

  49. Yucel EK, Fisher JS, Egglin TK, Geller SC, Waltman AC (1991) Isolated calf venous thrombosis: diagnosis with compression US. Radiology 179: 443–446

    PubMed  CAS  Google Scholar 

  50. Zwiebel WJ (1992) Introduction to vascular ultrasonography, 3rd edn. Saunders, Philadelphia

    Google Scholar 

  51. Zwiebel WJ (1988) Sources of error in duplex venography and an algorithmic approach to the diagnosis of deep venous thrombosis. Semin Ultrasound CTMR 9: 286–294

    CAS  Google Scholar 

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© 1994 Springer-Verlag Berlin Heidelberg

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Do, DD. (1994). Duplexsonographie der oberflächlichen und der tiefen Venen. In: Jäger, K.A., Landmann, J. (eds) Praxis der angiologischen Diagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78874-1_17

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  • DOI: https://doi.org/10.1007/978-3-642-78874-1_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78875-8

  • Online ISBN: 978-3-642-78874-1

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