Elastography techniques in the evaluation of deep vein thrombosis

Peter Hoang, Alex Wallace, Mark Sugi, Andrew Fleck, Yash Pershad, Nirvikar Dahiya, Hassan Albadawi, Grace Knuttinen, Sailendra Naidu, Rahmi Oklu

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

Deep venous thrombosis (DVT) is a significant medical problem with an incidence of 1 in 1,000 adults and greatly reduces quality of life through post-thrombotic syndrome. Treatment choice for DVT can be influenced by the age of the clot. While new endovascular catheter techniques treat venous clots to potentially prevent post-thrombotic syndrome, they require improved imaging techniques to accurately determine clot age. This review investigates experimental and clinical evidence of elastography techniques for aging DVT. Strain elastography and shear wave elastography are the most common techniques to age thrombus. These elastography techniques can distinguish between acute and chronic clots by characterizing tissue stiffness. When clot age cannot be determined with ultrasound duplex analysis, elastography may offer a helpful adjunct. However, further investigation is required to validate accuracy and reproducibility for clinical implementation of this novel technique.

Original languageEnglish (US)
Pages (from-to)S238-S245
JournalCardiovascular Diagnosis and Therapy
Volume7
DOIs
StatePublished - Dec 1 2017

Keywords

  • Deep venous thrombosis (DVT)
  • Elastography
  • Shear wave
  • Ultrasound (US)

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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