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Abstract
Aim: To determine the diagnostic value of indirect computed tomography venography (iCTV) in lower extremity deep vein thrombosis (LEDVT).
Methods: Data of 20 patients diagnosed with LEDVT and underwent endovascular treatment at Hue University of Medicine and Pharmacy hospital from 01/2021 - 08/2022 were analyzed. ICTV findings were documented and correlated with venography. All
patients were initialized with anticoagulation upon the diagnosis of LEDVT. Endovascular treatment included diagnostic venography, inferior vena cava filter insertion, intraclot thrombolysis, manual thromboaspiration with or without venoplasty and stenting.
Results: The mean age was 58.63 ± 16.9 (range, 17 - 85 years). LEDVT was found prominently in the left leg and at the femoropopliteal level. ICTV had a sensitivity of 100%, a specificity of 95.7%, a positive predictive value of 97.5%, a negative predictive
value of 100% and accuracy of 98.4% in the diagnosis of LEDVT. The sensitivity and specificity of iCTV in differentiating between chronic and acute thrombus were 100% and 100%. ICTV had high sensitivity in evaluating collaterals and venous outflow obstruction (as in May - Thurner syndrome).
Conclusion: ICTV has excellent diagnostic performance in the comprehensive evaluation of LEDVT and should be considered in patients planned for endovascular treatment.
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| Published | 28-12-2024 | |
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| Issue | No. 88 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.88.8 | |
| Keywords | Huyết khối tĩnh mạch sâu, cắt lớp vi tính tĩnh mạch gián tiếp, hụp tĩnh mạch, lấy huyết khối cơ học, hội chứng May - Thurner Deep vein thrombosis, indirect computed tomography venography, venography, thromboaspiration, May - Thurner syndrome |
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Copyright (c) 2023 Journal of Clinical Medicine Hue Central Hospital