sul tromboembolismo venoso - Supplements - Haematologica

20
Società Italiana per lo Studio dell’Emostasi e della Trombosi
esame strumentale (in prima
battuta l’ecografia).
La combinazione di probabilità
clinica, US e D-dimeri è raccomandata
nell’approccio diagnostico
alla TVP (vedi allegati
1,2,3).
L’ecografia rappresenta l’esame
di prima scelta per la diagnosi
di trombosi venosa dell’arto
superiore. La flebografia
può trovare indicazione nei casi
dubbi.
La diagnosi definitiva di trombosi
cavale si deve basare su
angio-TC o RM, particolarmente
indicate in presenza di malattia
neoplastica.
L’eco-color-doppler può essere
considerato utile quale primo
esame, soprattutto in presenza
di TVP degli arti inferiori, ma un
esito normale non esclude la
diagnosi, soprattutto in presenza
di un forte sospetto clinico.
L’uso della cavografia dovrebbe
essere limitata al planning
chirurgico, in assenza di adeguata
strumentazione TC o RM.
Pur in assenza di studi di confronto
con altre metodiche, la
RM è il test diagnostico raccomandato
per la diagnosi di
trombosi venosa cerebrale.
L’ecografia rappresenta il test
di primo impiego per la diagnosi
di trombosi portale. La TC e
l’angiografia portale sono metodiche
di approfondimento.
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