Prognosis in Deep Venous Thrombosis

Phillips, Russell S.

doi:10.1001/archsurg.1963.01310170018005

Cited by 17 publications

(2 citation statements)

References 11 publications

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“…In only 30-60% of patients with clinically sus pected DVT the diagnosis is confirmed by CV [3,4,7,8,[10][11][12][13][14][15][16][22][23][24]. The reason for the inaccu racy of the clinical diagnosis is that none of the signs and symptoms is unique and many other disorders can mimic DVT such as superficial phlebitis, trauma, postthrombotic syndrome, erysipelas, oedema due to congestive heart fail ure, external venous compression due to malig nancy, burst Bakers' cyst, muscle tear, lymphangi tis, lymphoedema and cellulitis.…”

Section: Clinical Signs and Symptomsmentioning

confidence: 99%

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Diagnosis of deep vein thrombosis, an overview

Janssen

Wollersheim

Nováková

et al. 1996

The Netherlands Journal of Medicine

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A bstractBecause clinical signs and symptoms are unreliable the diagnosis of deep vein thrombosis (DVT) should be objectified. Advantages and disadvantages of contrast venography, plethysmography, ultrasound techniques, fibrino gen leg scanning, computer-assisted tomography, magnetic resonance imaging and blood tests are discussed. In patients with a first event of suspected DVT non-invasive methods like serial plethysmography or ultrasound testing are sensitive and specific enough to make a treatment decision. It is safe to withhold anticoagulants if the test remains normal within 1 week. In patients with suspected recurrent DVT new non-invasive techniques are being tested, but up to now the definitive objective diagnostic test continues to be contrast venography. In first period as well as in recurrent DVT D-Dimer testing could be an additional test to exclude active thromboembolism.

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Section: Clinical Signs and Symptomsmentioning

confidence: 99%

“…firmed by venography [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. This implies that for years patients with clinical signs of DVT were diagnosed incorrectly and challenged unnecessar ily to the side-effects of anticoagulants with high costs of admission [19].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of deep vein thrombosis, an overview

Janssen

Wollersheim

Nováková

et al. 1996

The Netherlands Journal of Medicine

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Use of Anticoagulants in the Prevention of Venous Thromboembolic Disease In Postoperative Patients

Belding¹

1965

Arch Surg

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Association of Surgeons of Great Britain and Ireland

Lawrence¹,

Kakkar²

1980

Journal of British Surgery

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Foot volumetry is a simple, non-invasive technique for functional assessment of the venous system of the lower limb. The results of foot volumetry and venous pressure measurements were compared in 28 patients who were allocated to one of three groups--normal, uncomplicated superficial venous incompetence and deep venous incompetence--on the basis of clinical examination and ascending phlebography. Volumetry was found to differentiate more accurately between the three groups. Volumetry was also used in 113 patients who had suffered from phlebographically proved deep vein thrombosis (DVT). Seventy-seven per cent of 34 patients who sustained a major DVT and 16 per cent of 79 patients with calf vein thrombosis had evidence of severe haemodynamic impairment equivalent to that seen in the established post-phlebitic syndrome. The clinical significance of these findings is discussed.

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Prognosis in Deep Venous Thrombosis

Cited by 17 publications

References 11 publications

Diagnosis of deep vein thrombosis, an overview

Diagnosis of deep vein thrombosis, an overview

Use of Anticoagulants in the Prevention of Venous Thromboembolic Disease In Postoperative Patients

Association of Surgeons of Great Britain and Ireland

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