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Letters |7 December 2004

Single Complete Compression Ultrasonography for Suspected Deep Venous Thrombosis: Ideal in Routine Clinical Practice?

Scott M. Stevens, MD; C. Gregory Elliott, MD

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Author, Article, and Disclosure Information
  • From LDS Hospital and University of Utah, Salt Lake City, UT 84143.
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IN RESPONSE:
We appreciate the insights of Drs. Righini, Bounameaux, and Le Gal into the ramifications of use of single comprehensive duplex ultrasonography for suspected symptomatic DVT of the legs. We studied single comprehensive duplex ultrasonography because it is efficient and convenient compared with routine repeated simplified compression ultrasonography. We recognize that validated strategies use a sensitive d-dimer assay and clinical score to reduce the number of simplified compression ultrasonography studies used for suspected DVT (1), and we do not believe that our findings decrease the attractiveness of such strategies. We agree with El Kheir and Büller's recommendation (2) that comprehensive duplex ultrasonography should be studied in conjunction with clinical scoring and sensitive d-dimer assay.
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Stevens SM, Elliott CG. Single Complete Compression Ultrasonography for Suspected Deep Venous Thrombosis: Ideal in Routine Clinical Practice?. Ann Intern Med. ;141:889. doi: 10.7326/0003-4819-141-11-200412070-00018

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Published: Ann Intern Med. 2004;141(11):889.

DOI: 10.7326/0003-4819-141-11-200412070-00018

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2004 American College of Physicians
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