Utility of duplex ultrasound in the diagnosis of asymptomatic catheter-induced subclavian vein thrombosis

W. D. Haire, T. G. Lynch, R. P. Lieberman, G. B. Lund, J. A. Edney

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Asymptomatic thrombosis of the subclavian vein is common after placement of indwelling catheters. The sequelae of these thrombi are not known. Investigation is hampered by the requirement for venography for diagnosis; consequently, a noninvasive method of diagnosis would be welcome in this context. We have studied prospectively 32 subclavian catheters to determine the usefulness of duplex ultrasound in diagnosing asymptomatic thrombosis. Sixteen arm venograms were normal and all gave normal duplex scans. No false-positive scans were obtained. Eleven venograms demonstrated nonocclusive mural thrombi. Only three of these were seen with duplex ultrasound. Five totally occlusive thrombi were seen on venography, of which only two were detected with duplex sonography. The three thrombi not found with duplex ultrasound were short proximal venous occlusions. The insensitivity of this technique to asymptomatic subclavian thrombi limits its usefulness as a screening tool.

Original languageEnglish (US)
Pages (from-to)493-496
Number of pages4
JournalJournal of Ultrasound in Medicine
Volume10
Issue number9
DOIs
StatePublished - Jan 1 1991

Fingerprint

thrombosis
Subclavian Vein
veins
Thrombosis
Catheters
occlusion
screening
Phlebography
requirements
sensitivity
Indwelling Catheters
Ultrasonography

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Cite this

Utility of duplex ultrasound in the diagnosis of asymptomatic catheter-induced subclavian vein thrombosis. / Haire, W. D.; Lynch, T. G.; Lieberman, R. P.; Lund, G. B.; Edney, J. A.

In: Journal of Ultrasound in Medicine, Vol. 10, No. 9, 01.01.1991, p. 493-496.

Research output: Contribution to journalArticle

Haire, W. D. ; Lynch, T. G. ; Lieberman, R. P. ; Lund, G. B. ; Edney, J. A. / Utility of duplex ultrasound in the diagnosis of asymptomatic catheter-induced subclavian vein thrombosis. In: Journal of Ultrasound in Medicine. 1991 ; Vol. 10, No. 9. pp. 493-496.
@article{85681992db1c49cbab3861dfee3f5384,
title = "Utility of duplex ultrasound in the diagnosis of asymptomatic catheter-induced subclavian vein thrombosis",
abstract = "Asymptomatic thrombosis of the subclavian vein is common after placement of indwelling catheters. The sequelae of these thrombi are not known. Investigation is hampered by the requirement for venography for diagnosis; consequently, a noninvasive method of diagnosis would be welcome in this context. We have studied prospectively 32 subclavian catheters to determine the usefulness of duplex ultrasound in diagnosing asymptomatic thrombosis. Sixteen arm venograms were normal and all gave normal duplex scans. No false-positive scans were obtained. Eleven venograms demonstrated nonocclusive mural thrombi. Only three of these were seen with duplex ultrasound. Five totally occlusive thrombi were seen on venography, of which only two were detected with duplex sonography. The three thrombi not found with duplex ultrasound were short proximal venous occlusions. The insensitivity of this technique to asymptomatic subclavian thrombi limits its usefulness as a screening tool.",
author = "Haire, {W. D.} and Lynch, {T. G.} and Lieberman, {R. P.} and Lund, {G. B.} and Edney, {J. A.}",
year = "1991",
month = "1",
day = "1",
doi = "10.7863/jum.1991.10.9.493",
language = "English (US)",
volume = "10",
pages = "493--496",
journal = "Journal of Ultrasound in Medicine",
issn = "0278-4297",
publisher = "American Institute of Ultrasound in Medicine",
number = "9",

}

TY - JOUR

T1 - Utility of duplex ultrasound in the diagnosis of asymptomatic catheter-induced subclavian vein thrombosis

AU - Haire, W. D.

AU - Lynch, T. G.

AU - Lieberman, R. P.

AU - Lund, G. B.

AU - Edney, J. A.

PY - 1991/1/1

Y1 - 1991/1/1

N2 - Asymptomatic thrombosis of the subclavian vein is common after placement of indwelling catheters. The sequelae of these thrombi are not known. Investigation is hampered by the requirement for venography for diagnosis; consequently, a noninvasive method of diagnosis would be welcome in this context. We have studied prospectively 32 subclavian catheters to determine the usefulness of duplex ultrasound in diagnosing asymptomatic thrombosis. Sixteen arm venograms were normal and all gave normal duplex scans. No false-positive scans were obtained. Eleven venograms demonstrated nonocclusive mural thrombi. Only three of these were seen with duplex ultrasound. Five totally occlusive thrombi were seen on venography, of which only two were detected with duplex sonography. The three thrombi not found with duplex ultrasound were short proximal venous occlusions. The insensitivity of this technique to asymptomatic subclavian thrombi limits its usefulness as a screening tool.

AB - Asymptomatic thrombosis of the subclavian vein is common after placement of indwelling catheters. The sequelae of these thrombi are not known. Investigation is hampered by the requirement for venography for diagnosis; consequently, a noninvasive method of diagnosis would be welcome in this context. We have studied prospectively 32 subclavian catheters to determine the usefulness of duplex ultrasound in diagnosing asymptomatic thrombosis. Sixteen arm venograms were normal and all gave normal duplex scans. No false-positive scans were obtained. Eleven venograms demonstrated nonocclusive mural thrombi. Only three of these were seen with duplex ultrasound. Five totally occlusive thrombi were seen on venography, of which only two were detected with duplex sonography. The three thrombi not found with duplex ultrasound were short proximal venous occlusions. The insensitivity of this technique to asymptomatic subclavian thrombi limits its usefulness as a screening tool.

UR - http://www.scopus.com/inward/record.url?scp=0026010345&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026010345&partnerID=8YFLogxK

U2 - 10.7863/jum.1991.10.9.493

DO - 10.7863/jum.1991.10.9.493

M3 - Article

C2 - 1920590

AN - SCOPUS:0026010345

VL - 10

SP - 493

EP - 496

JO - Journal of Ultrasound in Medicine

JF - Journal of Ultrasound in Medicine

SN - 0278-4297

IS - 9

ER -