Usefulness of the Computed Tomography Venography for Evaluation of Leg Edema Including Deep Vein Thrombosis in Rehabilitation Patients
Identifieur interne : 006F06 ( Ncbi/Checkpoint ); précédent : 006F05; suivant : 006F07Usefulness of the Computed Tomography Venography for Evaluation of Leg Edema Including Deep Vein Thrombosis in Rehabilitation Patients
Auteurs : Ji Hea Chang [Corée du Sud] ; Ho Jun Lee [Corée du Sud] ; Jae Hyun Kwon [Corée du Sud] ; Gi Hyeong Ryu [Corée du Sud] ; Heebong Moon [Corée du Sud] ; Changjae Kim [Corée du Sud] ; Ki Yeon Nam [Corée du Sud] ; Bum Sun Kwon [Corée du Sud]Source :
- Annals of Rehabilitation Medicine [ 2234-0645 ] ; 2014.
Abstract
To investigate the usefulness of computed tomography venography (CTV) for evaluation of leg swelling, especially deep vein thrombosis (DVT), in rehabilitation patients.
A hundred twenty-three patients, who had performed CTV performed because of suspected DVT in our clinic, were enrolled. We performed chart reviews retrospectively and categorized CTV findings as follows: DVT distal to inguinal ligament and no compression lesion; DVT proximal to inguinal ligament and no compression lesion; DVT distal to inguinal ligament and anatomical variant (for example, May-Thurner syndrome); DVT due to compression of mass (cancer or cyst); DVT and other incidental abnormal finding; and no DVT and other possible causes of leg swelling.
DVTs were found in 65 (53%) patients. DVTs were found at distal level (thigh or lower leg) to inguinal ligament in 47 patients. DVTs were found at proximal to inguinal ligament, usually undetectable with duplex ultrasonography, in 6 patients. DVTs caused by external compression, such as femoral vein and cancer mass, were found in 12 patients (10%), which are also not easily detected with duplex ultrasonography. Other various causes of leg edema without DVT were found in 22 (18%) patients.
CTV can evaluate more extensively venous problems in the pelvis and abdomen and detect other possible causes of leg swelling. Therefore, CTV can be a useful tool not only for easy detection of DVT but also for evaluating differential diagnosis of leg edema in rehabilitation patients.
Url:
DOI: 10.5535/arm.2014.38.6.812
PubMed: 25566481
PubMed Central: 4280378
Affiliations:
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<author><name sortKey="Kwon, Bum Sun" sort="Kwon, Bum Sun" uniqKey="Kwon B" first="Bum Sun" last="Kwon">Bum Sun Kwon</name>
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<series><title level="j">Annals of Rehabilitation Medicine</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>To investigate the usefulness of computed tomography venography (CTV) for evaluation of leg swelling, especially deep vein thrombosis (DVT), in rehabilitation patients.</p>
</sec>
<sec><title>Methods</title>
<p>A hundred twenty-three patients, who had performed CTV performed because of suspected DVT in our clinic, were enrolled. We performed chart reviews retrospectively and categorized CTV findings as follows: DVT distal to inguinal ligament and no compression lesion; DVT proximal to inguinal ligament and no compression lesion; DVT distal to inguinal ligament and anatomical variant (for example, May-Thurner syndrome); DVT due to compression of mass (cancer or cyst); DVT and other incidental abnormal finding; and no DVT and other possible causes of leg swelling.</p>
</sec>
<sec><title>Results</title>
<p>DVTs were found in 65 (53%) patients. DVTs were found at distal level (thigh or lower leg) to inguinal ligament in 47 patients. DVTs were found at proximal to inguinal ligament, usually undetectable with duplex ultrasonography, in 6 patients. DVTs caused by external compression, such as femoral vein and cancer mass, were found in 12 patients (10%), which are also not easily detected with duplex ultrasonography. Other various causes of leg edema without DVT were found in 22 (18%) patients.</p>
</sec>
<sec><title>Conclusion</title>
<p>CTV can evaluate more extensively venous problems in the pelvis and abdomen and detect other possible causes of leg swelling. Therefore, CTV can be a useful tool not only for easy detection of DVT but also for evaluating differential diagnosis of leg edema in rehabilitation patients.</p>
</sec>
</div>
</front>
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<author><name sortKey="Shi, D" uniqKey="Shi D">D Shi</name>
</author>
<author><name sortKey="Xu, Z" uniqKey="Xu Z">Z Xu</name>
</author>
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</author>
<author><name sortKey="Cetin, N" uniqKey="Cetin N">N Cetin</name>
</author>
<author><name sortKey="Bayramoglu, M" uniqKey="Bayramoglu M">M Bayramoglu</name>
</author>
<author><name sortKey="Isiklar, I" uniqKey="Isiklar I">I Isiklar</name>
</author>
<author><name sortKey="Kilinc, S" uniqKey="Kilinc S">S Kilinc</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Harvey, Rl" uniqKey="Harvey R">RL Harvey</name>
</author>
<author><name sortKey="Roth, Ej" uniqKey="Roth E">EJ Roth</name>
</author>
<author><name sortKey="Yarnold, Pr" uniqKey="Yarnold P">PR Yarnold</name>
</author>
<author><name sortKey="Durham, Jr" uniqKey="Durham J">JR Durham</name>
</author>
<author><name sortKey="Green, D" uniqKey="Green D">D Green</name>
</author>
</analytic>
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<affiliations><list><country><li>Corée du Sud</li>
</country>
</list>
<tree><country name="Corée du Sud"><noRegion><name sortKey="Chang, Ji Hea" sort="Chang, Ji Hea" uniqKey="Chang J" first="Ji Hea" last="Chang">Ji Hea Chang</name>
</noRegion>
<name sortKey="Kim, Changjae" sort="Kim, Changjae" uniqKey="Kim C" first="Changjae" last="Kim">Changjae Kim</name>
<name sortKey="Kwon, Bum Sun" sort="Kwon, Bum Sun" uniqKey="Kwon B" first="Bum Sun" last="Kwon">Bum Sun Kwon</name>
<name sortKey="Kwon, Jae Hyun" sort="Kwon, Jae Hyun" uniqKey="Kwon J" first="Jae Hyun" last="Kwon">Jae Hyun Kwon</name>
<name sortKey="Lee, Ho Jun" sort="Lee, Ho Jun" uniqKey="Lee H" first="Ho Jun" last="Lee">Ho Jun Lee</name>
<name sortKey="Moon, Heebong" sort="Moon, Heebong" uniqKey="Moon H" first="Heebong" last="Moon">Heebong Moon</name>
<name sortKey="Nam, Ki Yeon" sort="Nam, Ki Yeon" uniqKey="Nam K" first="Ki Yeon" last="Nam">Ki Yeon Nam</name>
<name sortKey="Ryu, Gi Hyeong" sort="Ryu, Gi Hyeong" uniqKey="Ryu G" first="Gi Hyeong" last="Ryu">Gi Hyeong Ryu</name>
</country>
</tree>
</affiliations>
</record>
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