Systematic review of the use of ultrasound for venous assessment and venous thrombosis screening in spaceflight.
Détails
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_BF5C2576DD6C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Systematic review of the use of ultrasound for venous assessment and venous thrombosis screening in spaceflight.
Périodique
NPJ microgravity
ISSN
2373-8065 (Print)
ISSN-L
2373-8065
Statut éditorial
Publié
Date de publication
05/02/2024
Peer-reviewed
Oui
Volume
10
Numéro
1
Pages
14
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
The validity of venous ultrasound (V-US) for the diagnosis of deep vein thrombosis (DVT) during spaceflight is unknown and difficult to establish in diagnostic accuracy and diagnostic management studies in this context. We performed a systematic review of the use of V-US in the upper-body venous system in spaceflight to identify microgravity-related changes and the effect of venous interventions to reverse them, and to assess appropriateness of spaceflight V-US with terrestrial standards. An appropriateness tool was developed following expert panel discussions and review of terrestrial diagnostic studies, including criteria relevant to crew experience, in-flight equipment, assessment sites, ultrasound modalities, and DVT diagnosis. Microgravity-related findings reported as an increase in internal jugular vein (IJV) cross-sectional area and pressure were associated with reduced, stagnant, and retrograde flow. Changes were on average responsive to venous interventions using lower body negative pressure, Bracelets, Valsalva and Mueller manoeuvres, and contralateral IJV compression. In comparison with terrestrial standards, spaceflight V-US did not meet all appropriateness criteria. In DVT studies (n = 3), a single thrombosis was reported and only ultrasound modality criterion met the standards. In the other studies (n = 15), all the criteria were appropriate except crew experience criterion, which was appropriate in only four studies. Future practice and research should account for microgravity-related changes, evaluate individual effect of venous interventions, and adopt Earth-based V-US standards.
Pubmed
Web of science
Open Access
Oui
Création de la notice
09/02/2024 14:39
Dernière modification de la notice
09/08/2024 16:05