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Deep vein thrombosis CT

Introduction

Editor(s)-In-Chief: The APEX Trial Investigators, C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]Ā ; Kashish Goel, M.D.; Assistant Editor(s)-In-Chief: Justine Cadet

Overview

Overview

CT scan is not a routine test for the diagnosis of deep vein thrombosis (DVT). CT scan venography can be considered for the diagnosis of DVT when ultrasonography is either impractical or non-diagnostic.[1]

CT

CT

Uses

  • CT scan is preferred over contrast venography as there is no need to cannulate the foot veins.

Limitations

CT scan is not done routinely in clinical settings because of certain limitations:

  • Side effects of IV contrast administration
  • Expensive modality
Examples

Examples

  • CT images: DVT at left leg
References

References

  1. ↑ 1.0 1.1 Kearon C, Akl EA, Comerota AJ, Prandoni P, Bounameaux H, Goldhaber SZ; et al. (2012). “Antithrombotic therapy for VTE disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines”. Chest. 141 (2 Suppl): e419S–94S. doi:10.1378/chest.11-2301. PMCĀ 3278049. PMIDĀ 22315268.