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Deep Vein Thrombosis

Can a Second Sonographic Examination Be Avoided?

Alfonsa Friera1, Nuria R. Giménez2, Paloma Caballero1, Pilar S. Moliní2 and Carmen Suárez2

1 Radiology Department, Hospital de la Princesa, Diego de León, 62 28006 Madrid, Spain.
2 Internal Medicine Department, Hospital de la Princesa, 62 28006 Madrid, Spain.



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  		Fig. 1. —Flowchart shows method of diagnosis of deep vein thrombosis at our institution. DVT=deep vein thrombosis.

 


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  		Fig. 2A. —83-year-old woman with high clinical risk of deep vein thrombosis. Transverse gray-scale sonograms without compression (A) and with compression (B) reveal compressible left popliteal vein (arrow, B).

 


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  		Fig. 2B. —83-year-old woman with high clinical risk of deep vein thrombosis. Transverse gray-scale sonograms without compression (A) and with compression (B) reveal compressible left popliteal vein (arrow, B).

 


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  		Fig. 2C. —83-year-old woman with high clinical risk of deep vein thrombosis. Transverse gray-scale sonogram with compression at same level as A but obtained 1 week later shows intraluminal filling defect inside left popliteal vein (arrow).

 

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