Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492005000300012
Jornal Vascular Brasileiro
Review Article

O papel do mapeamento dúplex no diagnóstico da trombose venosa profunda assintomática dos membros inferiores

Mariangela Giannini; Hamilton Almeida Rollo; Francisco Humberto de Abreu Maffei

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Resumo

O diagnóstico da trombose venosa profunda sintomática está bem estabelecido com o uso do mapeamento dúplex, que apresenta sensibilidade de 100% e especificidade de 98%, para trombose venosa profunda proximal, e sensibilidade de 94% e especificidade de 75%, para distal. Na trombose venosa profunda recente e assintomática, o diagnóstico com o mapeamento dúplex ainda não está bem estabelecido, mostrando uma queda na acurácia desse método diagnóstico. Essa queda é devida ao fato de o trombo recente não ser oclusivo, apresentar a mesma ecogenicidade do sangue e uma consistência diminuída, prejudicando o teste da compressibilidade, que é o mais sensível para diagnóstico da trombose venosa profunda. Nesta revisão, serão revistos artigos publicados que avaliaram a acurácia do mapeamento dúplex no diagnóstico da trombose venosa profunda assintomática.

Palavras-chave

trombose venosa, diagnóstico, extremidade inferior, ultra-som

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