Noninvasive and invasive imaging of lower-extremity acute and chronic venous thrombotic disease

被引:3
作者
Li, Xin [1 ]
Ruff, Christer [2 ,3 ]
Vasileios, Rafailidis [4 ]
Grozinger, Gerd [2 ]
Cokkinos, Demosthenes [5 ]
Kirksey, Levester [6 ]
Levitin, Abraham [7 ]
Gadani, Sameer [7 ]
Partovi, Sasan [7 ,8 ]
机构
[1] Hosp Univ Penn, Dept Radiol, Philadelphia, PA USA
[2] Univ Tubingen, Dept Diagnost & Intervent Radiol, Tubingen, Germany
[3] Univ Tubingen, Dept Diagnost & Intervent Neuroradiol, Tubingen, Germany
[4] AHEPA Univ Hosp Thessaloniki, Dept Clin Radiol, Thessaloniki, Greece
[5] Evangelismos Med Ctr, Dept Radiol, Athens, Greece
[6] Cleveland Clin Fdn, Dept Vasc Surg, Cleveland, OH USA
[7] Cleveland Clin, Div Intervent Radiol, Imaging Inst, Cleveland, OH USA
[8] Cleveland Clin Main Campus, Imaging Inst, Sect Intervent Radiol, 9500 Euclid Ave, Cleveland, OH 44195 USA
关键词
Magnetic resonance imaging (MRI); post-thrombotic syndrome (PTS); ultrasound elastography; chronic postthrombotic changes; deep vein thrombosis (DVT); DEEP-VEIN THROMBOSIS; COMPUTED-TOMOGRAPHY VENOGRAPHY; INTRAVASCULAR ULTRASOUND; CT VENOGRAPHY; PULMONARY-EMBOLISM; RESIDUAL THROMBUS; DIAGNOSTIC-VALUE; THROMBOEMBOLISM; ELASTOGRAPHY; ULTRASONOGRAPHY;
D O I
10.1177/1358863X231198069
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The spectrum of venous thromboembolic (VTE) disease encompasses both acute deep venous thrombosis (DVT) and chronic postthrombotic changes (CPC). A large percentage of acute DVT patients experience recurrent VTE despite adequate anticoagulation, and may progress to CPC. Further, the role of iliocaval venous obstruction (ICVO) in lower-extremity VTE has been increasingly recognized in recent years. Imaging continues to play an important role in both acute and chronic venous disease. Venous duplex ultrasound remains the gold standard for diagnosing acute VTE. However, imaging of CPC is more complex and may involve computed tomography, magnetic resonance, contrast-enhanced ultrasound, or intravascular ultrasound. In this narrative review, we aim to discuss the full spectrum of venous disease imaging for both acute and chronic venous thrombotic disease.
引用
收藏
页码:592 / 603
页数:12
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