| Vascular laboratory and deep venous thrombosis: impact on management. | |
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MedLine Citation:
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PMID: 7451563 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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). |
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Authors:
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G G Nicholas; R F Latshaw |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of cardiovascular surgery Volume: 21 ISSN: 0021-9509 ISO Abbreviation: J Cardiovasc Surg (Torino) Publication Date: 1980 Sep-Oct |
Date Detail:
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Created Date: 1981-03-17 Completed Date: 1981-03-17 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0066127 Medline TA: J Cardiovasc Surg (Torino) Country: ITALY |
Other Details:
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Languages: eng Pagination: 570-3 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Doppler Effect False Negative Reactions False Positive Reactions Humans Leg / blood supply* Phlebography Plethysmography / instrumentation, methods Thrombosis / diagnosis* Ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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