Batur Abdussamet, Polat Vural, Ozgokce Mesut, Alpaslan Muhammed, Yavuz Alpaslan, Arslan Harun, Bora Aydin, Sakarya Mehmet Emin
Department of Radiology, Yuzuncuyil University, Dursun Odabas Medical Center, Van, Turkey.
Department of Cardiovascular Surgery, Yuzuncuyil University, Dursun Odabas Medical Center, Van, Turkey.
Pol J Radiol. 2017 Mar 22;82:161-164. doi: 10.12659/PJR.899949. eCollection 2017.
To investigate the usefulness of popliteal artery spectral doppler findings as a complimentary approach to isolated calf vein thrombosis (DVT).
MATERIAL/METHODS: We included consecutive patients presenting with symptomatic and sonographically proven acute isolated calf DVT. Patients with thrombosis of any other vein were excluded. We classified calf vein into into four main types. We investigated how many of these four vessels had DVT and compared them with respect to the pulsatility index (PI) value of the popliteal artery.
We evaluated spectral doppler characteristics of the popliteal artery on the same side as the isolated calf vein thrombosis as well as on the opposite side. The relationship between PI values of the popliteal artery and the number of thrombosed calf veins was investigated. In patients with 1 and/or 2 thrombosed veins, the mean PI was 6.03±0.54 on the side of cDVT and 5.68±0.39 on the opposite side (p=0.008), respectively. Inpatients with 3 and/or 4 thrombosed veins, the mean PI was 8.05±0.61 on the side of cDVT and 6.34±0.47 on the opposite side (p=0.001), respectively.
Venous doppler sonography for the evaluation of calf DVT may be limited by patient characteristics such as obesity, edema, and tenderness., Arterial PI can be used as a complimentary technique for the detection of venous thrombosis in such of cases.
探讨腘动脉频谱多普勒检查结果作为孤立性小腿静脉血栓形成（DVT）补充检查方法的实用性。
材料/方法：我们纳入了有症状且经超声证实为急性孤立性小腿DVT的连续患者。排除其他任何静脉有血栓形成的患者。我们将小腿静脉分为四种主要类型。我们研究了这四条血管中有多少条发生了DVT，并比较了它们腘动脉搏动指数（PI）值。
我们评估了与孤立性小腿静脉血栓形成同侧以及对侧腘动脉的频谱多普勒特征。研究了腘动脉PI值与血栓形成的小腿静脉数量之间的关系。在有1条和/或2条静脉血栓形成的患者中，患侧cDVT的平均PI为6.03±0.54，对侧为5.68±0.39（p = 0.008）。在有3条和/或4条静脉血栓形成的患者中，患侧cDVT的平均PI为8.05±0.61，对侧为6.34±0.47（p = 0.001）。
用于评估小腿DVT的静脉多普勒超声检查可能会受到肥胖、水肿和压痛等患者特征的限制。在这类病例中，动脉PI可作为检测静脉血栓形成的补充技术。
