| Diagnostic value of a negative single color duplex ultrasound in deep vein thrombosis suspicion during pregnancy. | |
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MedLine Citation:
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PMID: 20700985 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: to determine whether a negative single complete ultrasound (US) of the lower limbs veins is a safe and accurate diagnostic method to rule out deep venous thrombosis (DVT) in pregnancy. MATERIAL AND METHODS: We performed a prospective study on 87 consecutive pregnant women with clinical suspicion of DVT in "Dr. D. Popescu" Maternity, Timişoara, between January 2007 and December 2009. All cases were investigated by color duplex ultrasound. Those who were negative but with high clinical probability of DVT underwent MR venography, the rest with negative US findings did not received anticoagulant therapy and US was repeated after seven days. All were instructed about the signs and symptoms of DVT and asked to return at six weeks postpartum when they were questioned if presented any. RESULTS: from the 87 women 30 (34.48%) were found positive and two (2.29%) had a high clinical suspicion of DVT. 55 (63.21%) with negative findings repeated the US exam after 7 days which remained negative. Only 43 (78.18%) returned for the 6 weeks postpartum visit and none of them experienced any thromboembolic event during follow-up. CONCLUSIONS: A single complete color duplex ultrasonography of lower limbs veins appears to be a safe method to rule out the diagnosis of deep venous thrombosis in pregnant women and if negative is safe to withhold heparin therapy. |
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Authors:
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A Raţiu; D Navolan; I Spătariu; M Biriş; M Miculiţă; A Motoc |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i Volume: 114 ISSN: 0048-7848 ISO Abbreviation: Rev Med Chir Soc Med Nat Iasi Publication Date: 2010 Apr-Jun |
Date Detail:
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Created Date: 2010-08-12 Completed Date: 2010-09-28 Revised Date: 2011-01-13 |
Medline Journal Info:
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Nlm Unique ID: 0413735 Medline TA: Rev Med Chir Soc Med Nat Iasi Country: Romania |
Other Details:
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Languages: eng Pagination: 454-6 Citation Subset: IM |
Affiliation:
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V. Babes University of Medicine and Pharmacy, Timişoara School of Medicine, Department of Obstetrics and Gynecology. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Female Humans Lower Extremity / blood supply, ultrasonography* Predictive Value of Tests Pregnancy Pregnancy Complications, Cardiovascular / diagnosis, ultrasonography* Prospective Studies Ultrasonography, Doppler, Duplex* Venous Thrombosis / diagnosis, ultrasonography* |
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