Ultrasonic doppler examination

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Angiological examination method with the ultrasound Doppler for the diagnosis of chronic venous insufficiency and arterial occlusive disease. The examination method is particularly suitable for detecting insufficiency of the crust.

  • In healthy veins, a flow surge at the end of the inspiratory period can be heard due to a discontinuous, breath-dependent flow in the veins. In the Valsalva test, no sound is audible when there are sufficient valves due to a flow stop.
  • In case of pelvic vein thrombosis: higher frequency continuous flow noise.
  • In case of muzzle valve insufficiency: cannon beat during the Valsalva test.
  • Clear retrograde flow noise in the exspirium and in the Valsalva test can be detected via insufficient perforating veins. Similarly, truncal varicosis must be secured by a "Doppler" examination of the vena saphena magna.

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Last updated on: 29.10.2020