Japanese Journal of Thrombosis and Hemostasis
Online ISSN : 1880-8808
Print ISSN : 0915-7441
ISSN-L : 0915-7441
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Volume 24, Issue 4
Displaying 1-16 of 16 articles from this issue
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Reviews : Current problem and future perspective on diagnosis of venous thromboembolism
  • Current diagnosis of venous thromboembolism
    Norikazu YAMADA
    2013 Volume 24 Issue 4 Pages 351-356
    Published: August 01, 2013
    Released on J-STAGE: September 10, 2013
    DOIhttps://doi.org/10.2491/jjsth.24.351
    JOURNAL FREE ACCESS
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  • Role of hematological tests for medical care
    Hideo WADA, Takeshi MATSUMOTO
    2013 Volume 24 Issue 4 Pages 357-363
    Published: August 01, 2013
    Released on J-STAGE: September 10, 2013
    DOIhttps://doi.org/10.2491/jjsth.24.357
    JOURNAL FREE ACCESS
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  • Diagnostic imaging of deep vein thrombosis
    Makoto MO
    2013 Volume 24 Issue 4 Pages 364-369
    Published: August 01, 2013
    Released on J-STAGE: September 10, 2013
    DOIhttps://doi.org/10.2491/jjsth.24.364
    JOURNAL FREE ACCESS
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    Diagnostic imaging is essential tool for correct diagnosis of deep vein thrombosis. Ultrasonography （US） and CT venography （CTV） are the mainstay. US is noninvasive and the first choice for diagnosis of leg swelling and ruling out of deep vein thrombosis. CT pulmonary arteriography is already first choice of diagnosis of pulmonary embolism. CTV after CT pulmonary arteriography can be performed easily and quickly in emergency condition, and reasonable choice for diagnosis of deep vein thrombosis in patients with pulmonary embolism. Visualization of thrombosis of inferior vena cava and iliac veins with US is sometimes difficult, although CTV can visualize thrombosis of those areas well. US and CTV has complimentary role in diagnosis of deep vein thrombosis.
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  • Imagings of pulmonary thromboembolism
    Jun KOIZUMI
    2013 Volume 24 Issue 4 Pages 370-379
    Published: August 01, 2013
    Released on J-STAGE: September 10, 2013
    DOIhttps://doi.org/10.2491/jjsth.24.370
    JOURNAL FREE ACCESS
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    For the patients with suspected massive type of acute thromboembolism （APTE）, chest X-ray and transthoracic echocardiography （TTE） should be performed first and subsequent pulmonary arteriography confirms the diagnosis with possible interventions including percutaneous cardiopulmonary support, etc. Computed tomography （CT） is now the first line diagnostic imaging for the other types of APTE and possible deep vein thrombosis （DVT）. Pulmonary perfusion scintigraphy is available for the patients with allergy for the iodinated contrast, renal dysfunction, pregnancy, negative CT finding despite clinically highly suspected APTE, and for the evaluation of subsequent treatments. Magnetic resonance （MR） imaging is possible alternative to CT and may provide more information about thrombus age and perfusion.
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