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Microvascular Mapping with High Spatiotemporal Resolution. Usage Aspects of Assessment the Venous System Condition Among Senior age Group Patients with Lower Extremities Acute Venous Thrombosis

Abstract

Objective: to evaluate the possibilities and advantages of the new technology-microvascular mapping with high spatiotemporal resolution SMI (Superb Microvascular Imaging), in a survey of older patients with acute venous thrombosis. As well as to compare SMI technique with color (DRC) or power Doppler mapping. Materials and methods. The study included 67 patients (134 limbs), admitted to the hospital with acute venous thrombosis of the lower extremities in age from 65 to 88 years with a significant restriction of movement and selfservice. Men were 43 (64%), women - 24 (35.8%). All patients underwent standard ultrasound examination using B-mode and color mode or power Doppler mapping. In addition, the newest survey mode has been used, advertised by Toshiba corporation, used in the ultrasonic unit Aplio ™ 500, equipped with settings that allow to apply this technique. Results. All the diagnostic programs of evaluation patients with acute venous thrombosis in the inferior vena cava system are based on color duplex scanning to date,. However, despite this fact, there are still outstanding issues to be addressed and which based on the receipt of new views on the problem. That is why the application of new ultrasound technology will provide more accurate information about the state of the venous system among older patients with acute venous thrombosis, which is so necessary for the clinician to answer the questions raised. It was evaluated the state of the main veins of the lower extremities and determination the level and nature of the thrombotic masses spread. Options for the bypass venous flow thrombosis in a main thoroughfare were identified. The advantages of the techniques used in the comparison with a standard ultrasound were revealed. Conclusion. Technique of SMI ultrasonic instrument Aplio ™ 500 Toshiba company can be successfully used for the evaluation patients with acute venous thrombosis in the inferior vena cava. Considering the information content of this technique , a small time spending, cost and ease of use, and the ability in most cases to limit the use of diagnostic tests that elderly patients are extremely difficult to carry out for, can be recommended for inclusion in the scope of a standard ultrasound.

About the Authors

Andrey Ruslanovich Zubarev
Pirogov Russian National Research Medical University of Russian Ministry of Health
Russian Federation


Natalya Vladimirovna Krivosheeva
Pirogov Russian National Research Medical University of Russian Ministry of Health
Russian Federation


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Review

For citations:


Zubarev A.R., Krivosheeva N.V. Microvascular Mapping with High Spatiotemporal Resolution. Usage Aspects of Assessment the Venous System Condition Among Senior age Group Patients with Lower Extremities Acute Venous Thrombosis. Medical Visualization. 2016;(3):111-119. (In Russ.)

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ISSN 1607-0763 (Print)
ISSN 2408-9516 (Online)