Document Detail

Vascular laboratory and deep venous thrombosis: impact on management.
MedLine Citation:
PMID:  7451563     Owner:  NLM     Status:  MEDLINE    
Two hundred and twenty-nine patients with the diagnosis of deep venous thrombosis admitted to the hospital prior and subsequent to the development of our vascular laboratory were reviewed. The institution of a clinical vascular laboratory improved the accuracy of diagnosis of deep venous thrombosis. The percentage of patients undergoing venography increased from 34 to 110 (31%) to 70 of 119 (59%), documenting an increased demand by the clinician for objective confirmation of the clinical diagnosis of deep venous thrombosis. Fifty-five patients had both phlebography and vascular laboratory examination. Twenty-seven of these had phlebograms along with pulse volume recordings of maximum venous outflow with Doppler ultrasound. The overall accuracy was 71.4%, with false positives in 22.2% (6 patients) and false negatives in 7.4% (2 patients). Phleborheography and phlebography were done in 28 patients. The overall accuracy of phleborheographic examination was 89.3%. The false positive rate was 3.6% (1 patient) and the false negative rate was 7.1% (2 patients).
G G Nicholas; R F Latshaw
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  21     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1980 Sep-Oct
Date Detail:
Created Date:  1981-03-17     Completed Date:  1981-03-17     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  570-3     Citation Subset:  IM    
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MeSH Terms
Doppler Effect
False Negative Reactions
False Positive Reactions
Leg / blood supply*
Plethysmography / instrumentation,  methods
Thrombosis / diagnosis*

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