TY - JOUR
T1 - The use of point-of-care ultrasound (Pocus) in the diagnosis of deep vein thrombosis
AU - Varrias, Dimitrios
AU - Palaiodimos, Leonidas
AU - Balasubramanian, Prasanth
AU - Barrera, Christian A.
AU - Nauka, Peter
AU - Melainis, Angelos Arfaras
AU - Zamora, Christian
AU - Zavras, Phaedon
AU - Napolitano, Marzio
AU - Gulani, Perminder
AU - Ntaios, George
AU - Faillace, Robert T.
AU - Galen, Benjamin
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/9/1
Y1 - 2021/9/1
N2 - Acute lower extremity proximal deep venous thrombosis (DVT) requires accurate diagnosis and treatment in order to prevent embolization and other complications. Point-of-care ultrasound (POCUS), a clinician performed, and clinician interpreted bedside ultrasound examination has been increasingly used for DVT evaluation mainly in the urgent and critical care setting, but also in the ambulatory clinics and the medical wards. Studies have demonstrated that POCUS has excellent diagnostic accuracy for acute proximal DVT when performed by well-trained users. How-ever, there is significant heterogeneity among studies on the necessary extent of training and uni-versally acceptable standardized education protocols are needed. In this review, we summarize the evidence that supports the use of POCUS to diagnose acute proximal DVT and focus on methodol-ogy and current technology, sensitivity and specificity, pre-test probability and the role of D-dimer, time and resources, education, limitations, and future directions.
AB - Acute lower extremity proximal deep venous thrombosis (DVT) requires accurate diagnosis and treatment in order to prevent embolization and other complications. Point-of-care ultrasound (POCUS), a clinician performed, and clinician interpreted bedside ultrasound examination has been increasingly used for DVT evaluation mainly in the urgent and critical care setting, but also in the ambulatory clinics and the medical wards. Studies have demonstrated that POCUS has excellent diagnostic accuracy for acute proximal DVT when performed by well-trained users. How-ever, there is significant heterogeneity among studies on the necessary extent of training and uni-versally acceptable standardized education protocols are needed. In this review, we summarize the evidence that supports the use of POCUS to diagnose acute proximal DVT and focus on methodol-ogy and current technology, sensitivity and specificity, pre-test probability and the role of D-dimer, time and resources, education, limitations, and future directions.
KW - DVT
KW - Deep vein thrombosis
KW - POCUS
KW - Point-of-care ultrasound
KW - Sonography
KW - Ultrasound
KW - VTE
KW - Venous thromboembolism
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U2 - 10.3390/jcm10173903
DO - 10.3390/jcm10173903
M3 - Review article
AN - SCOPUS:85113896928
SN - 2077-0383
VL - 10
JO - Journal of Clinical Medicine
JF - Journal of Clinical Medicine
IS - 17
M1 - 3903
ER -