Extremities, Vascular, Ultrasound, Complications, Diagnostic procedure, Embolism / Thrombosis
G. mehdipoor1, A. Arjmand Shabestari1, G. Y. Lip2, B. Bikdeli3; 1Tehran/IR, 2Birmingham/UK, 3New Haven/US
We screened 3626 articles,
of which 15 reported the issue of clot dislodgement and embolization following ultrasonographic examination of the extremities (Figure 1).(1,
Of the 8 cases,
7 were male and the age ranged between 21 and 75 years.
DVTs were in the lower extremities in all 8 cases; 5 in right and 3 in left lower extremity.
In 6 cases the femoral veins were involved,
and a free-floating thrombus was reported in 2.
Compression ultrasonography was used in all cases,
with or without adjunct techniques.
Witnessing the clot dislodgement in the middle of the diagnostic ultrasound examination was reported in 2 cases.
there were 7 confirmed and 1 probable PE cases,
2 of which had fatal outcomes (Tables).