Condition: Deep Vein Thrombosis · Sponsor: Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer
The purpose is to assess the safety of a management strategy based on colour doppler ultrasound (CDUS) and D-Dimer test results for the diagnosis exclusion of recurrent deep vein thrombosis (DVT) of the lower limbs. DVT recurrence requires using anticoagulant treatment to prevent thrombosis progression. Given an increased bleeding risk with prolonged treatment, an accurate diagnosis for recurrence is needed. However, the diagnosis of a new thrombosis in a previously involved leg is difficult. Imaging modalities and criteria that are currently used for the diagnosis may be equivocal and unable to discriminate between an old clot and a new one recently developed at the same site. An increase in vein diameter after vein compression by the ultrasound probe was suggested as a diagnostic criterion for a new DVT. This method has many limitations in clinical practice, mainly a lack of availability of a previous measurement and a poor inter-observer agreement. Colour Doppler ultrasound enables to study both the thrombus and the blood flow characteristics that might help to overcome these limitations. CDUS is a well-known method for the diagnosis of vascular diseases and is used in every day clinical practice for the diagnosis of a first DVT and DVT recurrence but CDUS has never been assessed for DVT recurrence in a study. The diagnosis of DVT recurrence may be easily established using the same criteria as for a first DVT episode. Our hypothesis is that CDUS associated with D-Dimer c…
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| Centre Hospitalier de Vichy | Vichy, Allier, France | — |
| Centre Hospitalier Universitaire de Nice | Nice, Alpes-Maritimes, France | — |
| Centre Hospitalier de Carcassonne | Carcassonne, Aude, France | — |
| Centre d'angiologie | Carcassonne, Aude, France | — |
| APHM La Timone | Marseille, Bouches Du Rhône, France | — |
| Cabinet libéral Pung | Aubagne, Bouches-du-Rhône, France | — |
| Cabinet libéral Dias | Istres, Bouches-du-Rhône, France | — |
| Cabinet libéral Sidoli | Marseille, Bouches-du-Rhône, France | — |
| Cabinet libéral El Haddad | Marseille, Bouches-du-Rhône, France | — |
| Cabinet libéral De Mari | Ajaccio, Corse Du Sud, France | — |
| Cabinet libéral Secondi | Ajaccio, Corse Du Sud, France | — |
| Centre Hospitalier Universitaire Bocage | Dijon, Cote d'Or, France | — |
+ 33 more locations — full list on the registry record.
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