The limitations of impedance plethysmography in the diagnosis of acute deep venous thrombosis

Patterson, Robert B.; Fowl, Richard J.; Keller, J. D.; Schomaker, William; Kempczinski, Richard F.

doi:10.1016/s0741-5214(89)70046-x

Cited by 42 publications

(8 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Three previously published reports compared noninvasive hemodynamic tests for acute DVT to duplex imaging of the deep venous system (Table V). [15][16][17] In general, the previously reported data agree with the data reported herein; however, several differences must be addressed. Rosner et al2s reported I00% sensitivity for IPG; whereas VDI missed a thrombus in a duplicated popliteal vein.…”

Section: Discussionsupporting

confidence: 86%

Venous duplex imaging: Should it replace hemodynamic tests for deep venous thrombosis?

Comerota

Katz

Greenwald

et al. 1990

Journal of Vascular Surgery

106

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 86%

Venous duplex imaging: Should it replace hemodynamic tests for deep venous thrombosis?

Comerota

Katz

Greenwald

et al. 1990

Journal of Vascular Surgery

106

View full text Add to dashboard Cite

“…Twenty-six scintigrams (21%) were positive for PE, but only 3 patients had symptoms. Of these patients, 25 …”

Section: Resultsmentioning

confidence: 99%

“…Phlebography remains superior to the non-invasive methods (2,6,12,24,25,27) and is the only method that enables direct visualization of the whole venous system. It causes limited discomfort and risk to the patient when using modern contrast media (3) and it forms the 'gold standard'.…”

Section: Discussionmentioning

confidence: 99%

Phlebographic Findings in Venous Thrombosis following Total Hip Replacement

Kälebo¹,

Anthmyr²,

Eriksson³

et al. 1990

Acta Radiol

View full text Add to dashboard Cite

The specific appearance of venous thrombosis following total hip replacement was analysed by reviewing 45 positive phlebograms from 122 patients participating in a concurrent trial against thromboembolism. Almost all thrombi were asymptomatic and non-occlusive. Forty-four per cent of the thrombi were excusively confined to the calf. The muscular veins were the most common location, followed by the fibular and posterior tibial veins. Ipsilateral thrombi predominated over thrombi in the non-operated leg. Thirty-six per cent were located in the ipsilateral thigh and the major part was found in the proximal part of the femoral veins. Nearly all were related to valve cusps, free-floating and were of small size. In 20 per cent, thrombi were found in both the calf and the thigh. Neither contralateral thigh thrombi, nor pelvic thrombi were found. Of 25 patients with pulmonary embolism, all but 3 asymptomatic, 64 per cent had thigh thrombi. A multifocallocation of thrombi was present but two major types of thrombosis were distinguished; calf vein thrombosis probably due to venous stasis and femoral thrombosis caused by the local surgical trauma.

show abstract

“…The 142 studies reported a total of 150 cohorts (eight studies reported two separate cohorts): 100 reported patients with clinically suspected DVT, 46,114,176,178,185,186,190,193,199,210,[222][223][224]228,236,249,250, 45 reported asymptomatic patients 43,53,171,210,249,259,267,302,317, and five reported mixed cohorts. 206,282,[372][373][374] Cohorts with clinically suspected DVT…”

Section: Ultrasoundmentioning

confidence: 99%

Measurement of the clinical and cost-effectiveness of non-invasive diagnostic testing strategies for deep vein thrombosis

Goodacre

Sampson²,

Stevenson³

et al. 2006

Health Technol Assess

147

119

View full text Add to dashboard Cite

Diagnostic algorithms based on a combination of Wells score, D-dimer and ultrasound (with repeat if negative) are feasible at most UK hospitals and are among the most cost-effective. Use of repeat scanning depends on the threshold for willingness to pay for health gain. Further diagnostic testing for patients with a low Wells score and negative D-dimer is unlikely to represent a cost-effective use of resources. Recommendations for research include the evaluation of the costs and outcomes of using the optimal diagnostic algorithms in routine practice, the development and evaluation of algorithms appropriate for specific groups of patients with suspected DVT, such as intravenous drug abusers, pregnant patients and those with previous DVT, the evaluation of the role of plethysmography: interaction with other diagnostic tests, outcome of low-risk patients with negative plethysmography and measurement of the costs of providing plethysmography, and methodological research into the incorporation of meta-analytic data into decision-analytic modelling.

show abstract

The limitations of impedance plethysmography in the diagnosis of acute deep venous thrombosis

Cited by 42 publications

References 17 publications

Venous duplex imaging: Should it replace hemodynamic tests for deep venous thrombosis?

Venous duplex imaging: Should it replace hemodynamic tests for deep venous thrombosis?

Phlebographic Findings in Venous Thrombosis following Total Hip Replacement

Measurement of the clinical and cost-effectiveness of non-invasive diagnostic testing strategies for deep vein thrombosis

Contact Info

Product

Resources

About