Obligatory medical device diagnostics
- Compression phlebosonography (KUS, synonym: vein compression sonography); sonography (ultrasound examination) to document and check the compressibility of the deep veins in the legs and arms) – in cases of suspected deep vein thrombosis (DVT); very safe procedure especially in cases of thrombi of the femoral veins or popliteal vein [gold standard].
- Color-coded duplex sonography – for suspected thrombi in the hollow/pelvic veins.
Optional medical device diagnostics – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification.
- Doppler sonography (color-coded duplex sonography)* – ultrasound procedure, which can assess in particular the blood flow in the vessels.
- Phlebography (representation of the veins by means of contrast medium administration in conventional X-ray) – indicated in sonographically unclear findings.
- Venous occlusion plethysmography – indicated for course assessment, if necessary.
- Magnetic resonance phlebography (MR phlebography) – indicated for suspected abdominal/pelvic thrombi.
- Sonography (ultrasound examination) of the affected body region – to assess tissue changes.
- Light reflection rheography – for suspected chronic venous insufficiency (CVI).
- Arthrosonography (ultrasound examination of joints) – in arthrosonography, both the soft tissues and superficial areas of the bones of a joint can be displayed (implementation, for example, in unclear joint swelling); if necessary, puncture of the joint under sonographic view.
- X-ray diagnostics of the joint, in two planes – in arthralgia (joint pain).
* Caveat. Lipedema and venous insufficiency (chronic venous congestion syndrome, CVI)/varicosis (varicose veins) have a very high coincidence (coincidence, -meeting of two events), so that the venous status – in the sense of a differential diagnosis – should be clarified by duplex sonography. Under the guise of lipedema, for example, postthrombotic syndrome (PTS) may also be hidden.
