Diagnosis of deep vein thrombosis

被引:4
作者
Wells, PS
Forgie, MA
机构
[1] Ottawa Civic Hospital, Civic Parkdale Clinic, Ottawa, Ont. K1Y 1J8
关键词
deep vein thrombosis; diagnosis; clinical assessment; ultrasonography;
D O I
10.1016/0753-3322(96)84820-7
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Deep vein thrombosis (DVT) is an important, treatable disease that can be diagnosed by noninvasive imaging procedures. Ultrasound is the most accurate and readily available of these modalities but it still has limitations. False positive results occur in up 6% of patients, and calf DVT is not readily detected; thus serial ultrasonography is recommended in order to detect extension of a calf DVT. However, this results in many patients needlessly returning for a repeat assessment. A recently developed clinical model has the potential to identify false positive ultrasound results and to select patients who do not require serial testing. Certain rapidly performed D-dimer assays have similar potential but have not been evaluated in management strategies. In the subgroup of patients with suspected recurrent DVT and asymptomatic patients at high risk for DVT, ultrasonography and impedance plethysmography are less accurate, however, the clinical implications of this are unknown.
引用
收藏
页码:235 / 242
页数:8
相关论文
共 36 条
[1]   LIMITATIONS OF IMPEDANCE PLETHYSMOGRAPHY IN THE DIAGNOSIS OF CLINICALLY SUSPECTED DEEP-VEIN THROMBOSIS [J].
ANDERSON, DR ;
LENSING, AWA ;
WELLS, PS ;
LEVINE, MN ;
WEITZ, JI ;
HIRSH, J .
ANNALS OF INTERNAL MEDICINE, 1993, 118 (01) :25-30
[2]   A POPULATION-BASED PERSPECTIVE OF THE HOSPITAL INCIDENCE AND CASE-FATALITY RATES OF DEEP-VEIN THROMBOSIS AND PULMONARY-EMBOLISM - THE WORCESTER DVT STUDY [J].
ANDERSON, FA ;
WHEELER, HB ;
GOLDBERG, RJ ;
HOSMER, DW ;
PATWARDHAN, NA ;
JOVANOVIC, B ;
FORCIER, A ;
DALEN, JE .
ARCHIVES OF INTERNAL MEDICINE, 1991, 151 (05) :933-938
[3]  
Bayes T., 1763, PHILOS T R SOC LOND, V53, P370, DOI DOI 10.1098/RSTL.1763.0053
[4]   CONTRAST VENOGRAPHY OF THE LEG - DIAGNOSTIC EFFICACY, TOLERANCE, AND COMPLICATION RATES WITH IONIC AND NONIONIC CONTRAST-MEDIA [J].
BETTMANN, MA ;
ROBBINS, A ;
BRAUN, SD ;
WETZNER, S ;
DUNNICK, NR ;
FINKELSTEIN, J .
RADIOLOGY, 1987, 165 (01) :113-116
[5]  
BOUNAMEAUX H, 1992, THROMB HAEMOSTASIS, V68, P89
[6]   DETECTION OF DEEP-VEIN THROMBOSIS - COMBINED FLOW AND BLOOD POOL RADIONUCLIDE VENOGRAPHY VS CONTRAST VENOGRAPHY [J].
CANER, B ;
OZMEN, M ;
DINCER, A ;
KAPUCU, O ;
BEKDIK, C .
ANGIOLOGY, 1991, 42 (10) :796-804
[7]   MAGNETIC-RESONANCE VENOGRAPHY FOR THE DETECTION OF DEEP VENOUS THROMBOSIS - COMPARISON WITH CONTRAST VENOGRAPHY AND DUPLEX-DOPPLER ULTRASONOGRAPHY [J].
CARPENTER, JP ;
HOLLAND, GA ;
BAUM, RA ;
OWEN, RS ;
CARPENTER, JT ;
COPE, C .
JOURNAL OF VASCULAR SURGERY, 1993, 18 (05) :734-741
[8]  
CHARLES LA, 1994, ARCH PATHOL LAB MED, V118, P1102
[9]  
COGO A, 1995, HAEMOSTASIS, V25, P27
[10]   CHANGING FEATURES OF PROXIMAL VEIN-THROMBOSIS OVER TIME [J].
COGO, A ;
PRANDONI, P ;
VILLALTA, S ;
POLISTENA, P ;
BERNARDI, E ;
SIMIONI, P ;
VIGO, M ;
BENEDETTI, L ;
GIROLAMI, A .
ANGIOLOGY, 1994, 45 (05) :377-382