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Angiology
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Thrombophlebitis: Diagnostic Techniques

Thomas D. Painter

Department of Internal Medicine, Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania

A review of the extensive literature on the diagnosis of deep vein throm bophlebitis (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 fre quent 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-la beled fibrinogen is reasonably accurate in diagnosing calf DVT, but much less so in proximal lesions. The results of Doppler ultrasound and impedance pleth ysmography (IPG) agree with those of venography in 90% of the cases of proxi mal DVT.

Angiology, Vol. 31, No. 6, 386-397 (1980)
DOI: 10.1177/000331978003100603
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This article has been cited by other articles:


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 ANGIOLOGYHome page
R.O. Ofoegbu and U. Osime
Prevention and Treatment of Early Postoperative Deep Vein Thrombosis in Africans: A Nigerian Experience with Dihydroergotamine Mesylate
Angiology, December 1, 1981; 32(12): 812 - 818.
[Abstract] [PDF]


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