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- W2914926738 abstract "Accreditation in peripheral venous testing can be obtained based on femoropopliteal duplex ultrasound evaluation, and many laboratories limit their examination to this segment only. This simplified protocol detects acute femoropopliteal deep venous thrombosis (DVT) but misses calf vein DVT, superficial venous thrombosis, chronic DVT, venous reflux, and other nonvenous findings potentially responsible for pateints' presenting conditions. A protocol limited to the femoropopliteal segment results in additional unnecessary testing and can create patient dissatisfaction. We evaluated the differences in the diagnosis between a limited femoropopliteal vs a complete approach to the venous ultrasound evaluation of the lower extremities in patients examined in an outpatient vascular laboratory. A database with the complete ultrasound examinations of the lower extremity, including the common femoral, deep femoral, popliteal, tibial and peroneal veins, calf musclar veins, and great and small saphenous veins, performed in 1208 consecutive patients from July 2009 to February 2010 was queried. Of the 1208 patients, acute femoropopliteal DVT was found in 20 (1.66%), acute infrapopliteal DVT in 36 (2.98%), chronic femoropopliteal DVT in 42 (48%), and superficial thrombophlebitis of the lower extremities in 84 (6.95%). In addition, deep venous insufficiency (>500 milliseconds) was found in 385 (31.87%) and superficial venous insufficiency in 212 (17.55%). A mass was found in 64 (5.3%), comprising 10 cysts, four hematomas, 46 solid masses, and three aneurysms. Limited femoropopliteal ultrasound examination for acute DVT would have only detected a small percentage of the positive findings. These data suggest that the duplex examination can be used to further delineate the cause of outpatients' symptoms compared with the limited protocol." @default.
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- W2914926738 date "2012-09-01" @default.
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- W2914926738 title "The Role of Ultrasound to Identify Nonthrombotic Lower Extremity Pathology" @default.
- W2914926738 doi "https://doi.org/10.1016/j.jvs.2012.06.011" @default.
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