Thrombophlebitis: Diagnostic Techniques

Painter, Thomas D.
June 1980
Angiology;Jun1980, Vol. 31 Issue 6, p386
Academic Journal
A review of the extensive literature on the diagnosis of deep vein thrombophlebitis (DVT) is presented. DVT affects approximately 10% of all patients with superficial thrombophlebitis. Many authors have shown that the clinical findings of DVT are unreliable. Although pulmonary emboli are relatively frequent in all patients with calf DVT, these emboli are generally not associated with clinical events. Venography is the "gold standard" of diagnostic tests, but it is too cumbersone to be practical as a screening procedure. Radioisotope-labeled fibrinogen is reasonably accurate in diagnosing calf DVT, but much less so in proximal lesions. The results of Doppler ultrasound and impedance plethysmography (IPG) agree with those of venography in 90% of the cases of proximal DVT.


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