Diagnostic value of a negative single complete compression ultrasound of the lower limbs to exclude the diagnosis of deep venous thrombosis in pregnant or postpartum women: A retrospective hospital-based study

We aimed at determining whether a negative single complete compression ultrasonography (CUS) of the lower limbs veins is a safe and accurate diagnostic method to rule out the diagnosis of deep venous thrombosis in pregnant and early postpartum women. Hospital-based retrospective study. The gynaecolo...

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Bibliographic Details
Published in:Thrombosis research 2006, Vol.118 (6), p.691-697
Main Authors: Le Gal, Grégoire, Prins, Anne-Marije, Righini, Marc, Bohec, Caroline, Lacut, Karine, Germain, Pierre, Vergos, Jean-Claude, Kaczmarek, Raymond, Guias, Bruno, Collet, Michel, Bressollette, Luc, Oger, Emmanuel, Mottier, Dominique
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Diseases of the cardiovascular system
Diseases of the lymphatic vessels
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Follow-Up Studies
Human health and pathology
Humans
Life Sciences
Lower Extremity
Lower Extremity - blood supply
Lower Extremity - diagnostic imaging
Medical sciences
Postpartum Period
Predictive Value of Tests
Pregnancy
Pregnancy Complications, Cardiovascular
Pregnancy Complications, Cardiovascular - diagnostic imaging
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Retrospective Studies
Ultrasonography
Venous Thrombosis
Venous Thrombosis - diagnostic imaging
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Summary:We aimed at determining whether a negative single complete compression ultrasonography (CUS) of the lower limbs veins is a safe and accurate diagnostic method to rule out the diagnosis of deep venous thrombosis in pregnant and early postpartum women. Hospital-based retrospective study. The gynaecology and vascular ultrasound units of three general hospitals in western France. We identified from the hospitals databases all pregnant or up to three months postpartum women who underwent CUS for a suspicion of deep venous thrombosis between January 2002 and December 2004. Questionnaires were sent to all women with a negative CUS. Their medical records were also checked. We assessed the three-month thromboembolic risk and its 95% percent confidence interval in women left untreated on the basis of a negative single complete CUS of the lower limbs. During the study period, 162 pregnant or postpartum women underwent CUS for a suspicion of deep venous thrombosis. It was positive in 44 (27%). The 118 women who had a negative CUS were sent the questionnaire. Information about the three-month follow-up was found for 107 patients (91%). None of them experienced a thromboembolic event during follow-up: 0.0% (95% CI: 0.0–3.6). Single complete CUS of lower limbs veins appears to be a safe method to rule out the diagnosis of deep venous thrombosis in pregnant or early postpartum women. This has to be confirmed by a prospective management study with a formal follow-up.
ISSN:0049-3848
1879-2472
DOI:10.1016/j.thromres.2005.12.004