Ultrasound of the veins of the lower extremities

Diseases and pathologies of the legs are diagnosed more and more often in patients of all ages. That is why the question becomes urgent where to make ultrasound of the lower extremities, how the procedure goes and the main indications for its conduct, we will consider these questions. Ultrasound examination of the lower extremities allows you to see everything that is hidden from visual inspection. With the help of this diagnostic method, the condition of the venous system and blood vessels, vascular patency and blood flow velocity, presence of thrombi and other pathologies are determined.

To date, several types of ultrasound investigation of the lower limbs are used: color Doppler scanning, duplex sonography and angioscanning, consider them in more detail:

• When performing angioscanning, ultrasound is reflected from the tissues and is displayed on the ultrasound monitor as an image. This type of diagnosis of the lower extremities helps to identify pathological changes in the tissue structure, bends, seals and thrombi.
• With the help of Doppler scan it is possible to visualize the blood flow in the vessels of the extremities. The ultrasound provides information on the speed and direction of blood flow, the state of the venous valves and the patency of the vessels. Helps to detect deep vein thrombosis.
• Duplex sonography includes the two above described types of ultrasound of the lower extremities. With the help of this diagnostic method, it is possible to detect any disturbances in the venous system.

Ultrasound scanning of the lower limbs is prescribed for suspected venous diseases, for confirmation of deep vein varicose, for prevention and control over the process of recovery. Ultrasound is recommended for patients with diabetes mellitus, chronic venous insufficiency, with frequent convulsions, swelling and drawing pains in the extremities. Ultrasound diagnosis is also performed for patients who are at risk. That is, people with excess weight, leading an inactive and sedentary lifestyle, pregnant women and those who prefer to wear high-heeled shoes.

Diagnosis does not require special preparation, the patient does not need to limit himself in food or conduct additional procedures. The duration of the study takes from 40 to 60 minutes. During the diagnosis, the patient lies on the couch on the stomach, releasing the calves and hips from the clothes. The test tissues are lubricated with a special gel and examined with a sensor. USD is painless and safe.

Ultrasound signs of leg vein lesions

Ultrasound examination (ultrasound) of the vessels of the lower extremities is one of the leading in clinical practice. Traditional physical or instrumental diagnosis in this vascular region is either poorly informative (manual samples, limb volume measurement, etc.), or is associated with endovasal invasion and radiation stress on the patient and medical personnel (radiopaque angiography). However, until now, the problem of ultrasound diagnosis of diseases of the venous system remains poorly understood.

The system of the inferior vena cava is the main source of fatal thromboembolism of the pulmonary artery.

However, the problem of using ultrasound technology, ultrasound semiotics of acute venous thrombosis of the vessels of the inferior vena cava system, chronic insufficiency of the veins of the lower limbs has not been studied enough and needs to be compared with the data of reference research methods.

Various venous pools of the upper and lower extremities are characterized by different pathophysiological mechanisms and are discussed in different sections. The method of examination should correspond to the anatomy of the vessels.

The main interest among deep vein diseases of the lower extremities is deep vein thrombosis (DVT). The main risk factors are post-traumatic or postoperative immobilization, flights or bus trips over long distances, paraneoplastic syndromes and hypercoagulopathies. Clinical symptoms of deep vein thrombosis are non-specific, while radiodiagnosis allows you to determine in doubtful cases, especially if you pay attention to the algorithm.

Most diseases of the superficial venous system of the lower extremities arise from valvular venous insufficiency. Primary varicose veins are a disease of the superficial veins, in which the venous valves can not close until well-known reasons. Secondary varicose enlargement is caused by an increase in the volume of blood in the system of superficial veins, functioning as collaterals for deep vein thrombosis (postthrombotic syndrome). Primary and secondary varicose veins can lead to a clinical picture of chronic venous insufficiency (CVI).

Thrombosis of superficial veins (thrombophlebitis) is usually a clinical diagnosis and rarely requires radiation examination.

Thrombosis of the veins of the upper limbs (Paget-von Schreter syndrome) is rare. Usually this is a complication associated with catheterization or is the result of physical overloads (load thrombosis). Clinical manifestations are usually pronounced (swelling of the hand), and the main purpose of the study is to substantiate the clinical picture.

Where to make ultrasound of the lower extremities?

Kiev:

• Clinic of phlebology - boulevard I. Lepse, 4, AK Rostok, tel. [phone].
• The diagnostic center "Omega Kiev" - Mayakovsky Avenue, 70, tel. [phone].
• Medical Center "Euroclinic" - st. Melnikova, 16, tel. [phone].
• Clinic "Ultrasound Pro" - st. Baggovutovskaya, 38, ph. [phone].
• The network of medical clinics "Viva" - ul. Lavrukhina, 6, tel. [phone].

USD in Ukraine:

• Medical Center "Medisan" - st. Maroseika, 10/1, tel. [phone].
• City Family clinic - st. Perovskaya, 23, tel. [phone].
• Medical Center "City Clinic" - st. Academician Kapitsa, 34/121, 7 tel. [phone].
• The network of multi-profile clinics "Your Health" - ul. Pererva, 52, tel. [phone].
• Medical Center "Home Clinic" - Leninsky Prospect, 102, tel. [phone].

St. Petersburg:

• Multidisciplinary medical center "Grange" - st. Marata, 25A, tel. [phone].
• Medical center "Rainbow" - st. Composers, 4, tel. [phone].
• Clinical Hospital № 122 them. L.G.Sokolova - Avenue of Culture, 4, tel. [phone].
• Clinic "Doctor San" - st. Marata, 78, tel. [phone].
• Clinic "Medical Center" - Alley Polikarpova, 6/2, ph. [phone].