Central Assessment of Bilateral Phlebograms in a Major Multicentre Thromboprophylactic Trial

Kälebo, Peter; Eriksson, B. I.; Zachrisson, B. F.

doi:10.3109/02841859909174398

Cited by 1 publication

(1 citation statement)

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“…37 Moreover, this phenomenon of nonfilling probably appears at all clinics using phlebography, and we have noticed it when interpreting phlebograms from many places around the world. Muscle contraction and weight bearing on the investigated leg should be avoided.2 2 Our technique excludes these reasons for nonfilling, as the phlebography is performed with the patient seated with the lower leg in a vertical position.…”

Section: Resultsmentioning

confidence: 85%

Nonfilling of Contrast in Deep Leg Vein Isolated Nonfilling of Contrast in Deep Leg Vein Segments Seen on Phlebography, and a Comparison with Color Doppler Ultrasound, to Assess the Incidence of Deep Leg Vein Thrombosis

Björgell

Nilsson²,

Jarenros³

2000

Angiology

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Nonfilling of contrast in deep veins on phlebography is claimed to be an indirect sign of deep vein thrombosis (DVT) by some authors but rejected by others. The aim of this study was to prospectively assess, with color Doppler ultrasound (CDU), the occurrence and distribution of DVT in isolated, nonfilling, deep vein segments seen on a phlebogram. One hundred consecutive patients with clinical signs of acute DVT, in whom phlebography displayed nonfilling of the posterior tibial veins and/or the deep calf muscle veins, were examined with CDU on the same occasion. Ultrasound confirmed a DVT in 31 (31%) patients; in another 38 (38%) patients other pathology, without concomitantly detected DVT, such as edema, bleedings, ligament and muscle ruptures, Baker cysts, or superficial thrombophlebitis were found instead; and in the remaining 31 (31%) patients no pathology that could explain the nonfilling was identified. Isolated, nonfilling of the posterior tibial and/or deep muscle veins of the calf found by phlebography may be an indirect sign of DVT but is equally commonly caused by other pathological conditions or arises without any detectable explanation. When the thrombotic burden is to be scored, and to facilitate the establishment of the correct diagnosis, additional CDU is recommended when isolated nonfilling is present.

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Section: Resultsmentioning

confidence: 85%