Advertisement

Doppler Ultrasonography, a Rapid Evaluation Method of the Major Risk in the Vascular Pathology

  • Elena GligorEmail author
  • A. I. Roman
  • V. Ossian
  • D. Gligor
  • M. Beudean
  • M. Olt
Conference paper
Part of the IFMBE Proceedings book series (IFMBE, volume 71)

Abstract

The benefit ultrasonography brings in medical practice when dubbed by a competent user is unquestionable. The following considerations support the assertion that the technique is non-invasive for the patient and the user, inexpensive, offering real-time relations as compared to other imaging and high performance techniques such as CT and MRI. In our clinical study, the four patients selected were representative for the above mentioned conclusions, being hospitalized and diagnosed sonographically with: tissue hematoma, pseudoaneurysm, arteriovenous fistula and venous thrombosis. After discharge, patients were clinically and sonographically monitored after 1, 3 and 6 months. The technique has also imposed a choice of treatment appropriate to each individual case, namely a conservative treatment for the patients with hematoma, pseudoaneurysm and arteriovenous fistula. For the patient with venous thrombosis, the prescribed treatment was medical. A surgical treatment (excision and ligation) for the pseudoaneurysm was also discussed. After a 6-month surveillance and delay, thrombosis was performed. We mention that the prognosis is also favorable after a surgical treatment when the evaluation and timing are correctly chosen.

Keywords

Pseudoaneurysm Arteriovenous fistula Venous thrombosis Hematoma 

Notes

Acknowledgements

The authors would like to thank the Recovery Hospital of Cluj-Napoca for letting them use the eSAOTE MyLAB 50 device for the Doppler Ultrasound technique.

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Gligor, E.: Fiziopatologie. Ed. Casa Cartii de Stiinta, Cluj-Napoca (2007)Google Scholar
  2. 2.
    Gligor, E., Ciupa, R., Roman, M., Gligor, D.: Fiziologie si explorare functionala—Notiuni fundamentale. Ed. Casa Cartii de Stiinta, Cluj-Napoca (2012)Google Scholar
  3. 3.
    Bluth, I.E., Arger, H.P., Benson, B.C., et al.: Ultrasonography in Vascular Diseases: A Practical Approach To Clinical Problems. Thieme Medical Publishers, New York (2001)Google Scholar
  4. 4.
    Luther, A., Kuman, A. et al.: Pseudoaneurysme arteriale periferice. Indian J. Surg. 77(suppl.2): 603–607 Dec (2015)Google Scholar
  5. 5.
    Perler, B.A.: Tratamentul chirurgical al pseudoaneurismului femural dupa cateterizare cardiaca. Cardiovascular Surg. 1, 118–121 (1993)Google Scholar
  6. 6.
    Darbari, A., Tandon, S., Chandra, G. et al.: Pseudoaneurismul arterial periferic post-traumatic. Ind. J. Thorac. Cardiovasc. Surg 22: 182–197 [Pub Med] (2006)Google Scholar
  7. 7.
    Helvie, M.A., Rubin, J.M., Silver, T.M., et al.: The distinction between femoral artery pseudoaneurysms and other causes of groin masses: value od duplex Doppler sonography. AJR 150, 1177–1180 (1988)CrossRefGoogle Scholar
  8. 8.
    Middleton, M.A., Middelton, W.D.: Femoran hernia simulating pseudoaneurysm on colour Doppler sonography 160, 1291–1292 (1993)Google Scholar
  9. 9.
    Igidbashian, V.N., Mitchell, D.G., Middleton, W.D. et al.: Iatrogenic femoral arteriovenous fistula: diagnosis with colour Doppler. Radiology 170(3 pt. 1), 749–752 (1989)Google Scholar
  10. 10.
    Haire, V.D.: Arm Vein Thrombosis. Clin. Chest Med. 16(2), 341–351 (1955)Google Scholar
  11. 11.
    Knudson, G.J., Wiedmeyer, D.A., Erickson, S.J., et al.: Colour Doppler Sonographic Imaging in the assessment of upper-extremity deep venous trombosis. AJR 154, 399–403 (1990)CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Elena Gligor
    • 1
    Email author
  • A. I. Roman
    • 2
  • V. Ossian
    • 3
  • D. Gligor
    • 4
  • M. Beudean
    • 1
  • M. Olt
    • 5
  1. 1.Rehabilitation HospitalCluj-NapocaRomania
  2. 2.Regional Gastroenterology InstituteCluj-NapocaRomania
  3. 3.Bendis ClinicCluj NapocaRomania
  4. 4.Cluj Municipal Clinical HospitalCluj-NapocaRomania
  5. 5.Technical University of Cluj NapocaCluj-NapocaRomania

Personalised recommendations