Journal of Vascular Surgery
Volume 48, Issue 2 , Pages 413-416 , August 2008

Duplex scan for deep vein thrombosis—defining who needs an examination of the contralateral asymptomatic leg

Presented at the Thirty-First Annual Meeting of the Midwestern Vascular Surgical Society, Chicago, Ill, Sep 6-8, 2007.

  • Richard C. Pennell, MD

      Affiliations

    • Department of Surgery, St Louis University School of Medicine, St Louis, Mo
    • Section of Vascular Surgery, St Johns Mercy Medical Center, St Louis, Mo.
    • Corresponding Author InformationReprint requests: Dr Richard C. Pennell, Department of Surgery, St Louis University School of Medicine, 625 South New Ballas Rd, Ste 7063, St Louis, MO 63141.
    • ,
  • Vito A. Mantese, MD

      Affiliations

    • Department of Surgery, St Louis University School of Medicine, St Louis, Mo
    • Section of Vascular Surgery, St Johns Mercy Medical Center, St Louis, Mo.
    • ,
  • Scott G. Westfall, MD

      Affiliations

    • Department of Surgery, St Louis University School of Medicine, St Louis, Mo
    • Section of Vascular Surgery, St Johns Mercy Medical Center, St Louis, Mo.

Received 27 September 2007 ,Accepted 22 March 2008.

References 

  1. Strothman G, Blebea J, Fowl RJ, Rosenthal G. Contralateral duplex scanning for deep venous thrombosis is unnecessary in patients with symptoms. J Vasc Surg. 1995;22:543–547
  2. Sheiman RG, McArdle CR. Bilateral lower extremity U/S in the patient with unilateral symptoms of deep venous thrombosis: assessment of need. Radiology. 1995;194:171–173
  3. Miller N, Obrand D, Toussignant L, Gascon I, Rossignol M. Venous duplex scanning for unilateral symptoms: when do we need a contralateral evaluation?. Eur J Vasc Endovasc Surg. 1998;5:18–23
  4. Lohr JM, Hasselfeld KA, Byrne MP, Deshmukh RM, Cranley JJ. Does the asymptomatic limb harbor deep venous thrombosis. Am J Surg. 1994;168:184–187
  5. Lemech LD, Sandroussi C, Makeham V, Burnett A, Harris JP. Is bilateral duplex scanning necessary in patients with symptoms of deep venous thrombosis?. ANZ J Surg. 2004;74:847–851
  6. Blebea J, Kihara TK, Neumyer MM, Blebea JS, Anderson KM, Atnip RG. A national survey of practice patterns in the noninvasive diagnosis of deep venous thrombosis. J Vasc Surg. 1999;29:799–806
  7. Nadich JB, Torre JR, Pellerito JS, Smalberg IS, Kase DJ, Crystal KS. Suspected deep venous thrombosis: is U/S of both legs necessary?. Radiology. 1996;200:429–431
  8. Cronan JJ. Deep venous thrombosis: one leg or both legs?. Radiology. 1996;200:323–324
  9. Garcia ND, Morasch MD, Ebaugh JL, Shah S, Blackburn D, Astleford P, et al. Is bilateral ultrasound scanning of the legs necessary for patients with unilateral symptoms of deep vein thrombosis?. J Vasc Surg. 2001;34:792–797
  10. Giess CS, Bach AM, Hann LE. Lower extremity venous sonography in the high-risk cancer population: one leg or two?. Am J Roentgenol. 2001;176:1049–1052

 Competition of interest: none.

PII: S0741-5214(08)00484-9

doi: 10.1016/j.jvs.2008.03.046

Journal of Vascular Surgery
Volume 48, Issue 2 , Pages 413-416 , August 2008

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