| Autor: |
Matthew Tabbut, Nate Ebersole, Lauren Icken, Robert Jones, Diane Gramer |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Western Journal of Emergency Medicine, Vol 23, Iss 4 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
1936-9018 |
| DOI: |
10.5811/westjem.2022.2.53830 |
| Popis: |
Background: Deep vein thrombosis (DVT) is a common vascular problem seen in the emergency department (ED) and is commonly identified using ultrasound performed by a vascular lab, the radiology department, or at the point of care. Previous studies have assessed the utility of a two-point vs sequential technique to identify the presence of a thrombus. One particular study reported a concerning rate of isolated femoral vein thrombi that would be missed by a two-point technique. Objectives: In this study we sought to determine whether the two-point technique misses isolated femoral vein thrombi. Methods: We conducted a retrospective review of patients who had a new diagnosis of DVT in the ED diagnosed with vascular lab, radiology, or point-of-care ultrasound to assess for the presence and rate of thrombi that would be missed using a two-point scanning technique. Results: We included in our study 356 patients with a diagnosis of new DVT. In our population, 21 (5.9%; 0.95 confidence interval: 3.7%, 8.9%) patients were identified with thrombi isolated to the femoral vein. Conclusion: The two-point technique for lower extremity vascular ultrasound is insufficient for ruling out proximal DVTs in ED patients. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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