BIOMAT Database Logo BIOMAT Database Logo

Colour Doppler flow imaging ultrasonography versus venography as screening method for asymptomatic postoperative deep venous thrombosis. 1995

I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Centre for Clinical Thrombosis Research, Bispebjerg Hospital, University of Copenhagen, Denmark.

OBJECTIVE To evaluate colour Doppler flow imaging ultrasonography (CDFI), compared with venography, as a screening method for postoperative deep venous thrombosis (DVT) in a clinical trial on thromboprophylaxis. METHODS Patients undergoing major abdominal or thoracic surgery were prospectively screened for DVT by CDFI. Patients were examined preoperatively, and on post-operative days 1, 3, 7, 14, 21, and 28. When the CDFI was positive venography was performed. Bilateral venography was performed on day 28 in all patients. The study group comprised 82 patients who underwent CDFI and venography on the same day: four because of suspected DVT (positive CDFI), and 78 on day 28 according to protocol. RESULTS DVT was detected by venography in seven patients, in three of whom CDFI was positive. CDFI was falsely positive in one case. There were two popliteal and five calf DVTs, of which CDFI detected one and two, respectively. The sensitivity of CDFI was 43%, the specificity 99%. The PVpos for CDFI was 75%, and the PVneg 96%. CONCLUSIONS Due to low sensitivity, CDFI cannot stand alone as a screening method for asymptomatic postoperative DVT.

UI MeSH Term Description Entries
D007084 Iliac Vein A vein on either side of the body which is formed by the union of the external and internal iliac veins and passes upward to join with its fellow of the opposite side to form the inferior vena cava. Deep Circumflex Iliac Vein,Iliac Veins,Vein, Iliac,Veins, Iliac
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D010690 Phlebography Radiographic visualization or recording of a vein after the injection of contrast medium. Venography,Phlebographies,Venographies
D011152 Popliteal Vein The vein formed by the union of the anterior and posterior tibial veins; it courses through the popliteal space and becomes the femoral vein. Popliteal Veins,Vein, Popliteal,Veins, Popliteal
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D005268 Femoral Vein The vein accompanying the femoral artery in the same sheath; it is a continuation of the popliteal vein and becomes the external iliac vein. Femoral Veins,Vein, Femoral,Veins, Femoral
D005343 Fibrinolytic Agents Fibrinolysin or agents that convert plasminogen to FIBRINOLYSIN. Antithrombic Drug,Antithrombotic Agent,Antithrombotic Agents,Fibrinolytic Agent,Fibrinolytic Drug,Thrombolytic Agent,Thrombolytic Agents,Thrombolytic Drug,Antithrombic Drugs,Fibrinolytic Drugs,Thrombolytic Drugs,Agent, Antithrombotic,Agent, Fibrinolytic,Agent, Thrombolytic,Agents, Antithrombotic,Drug, Antithrombic,Drug, Fibrinolytic,Drug, Thrombolytic,Drugs, Antithrombic
D006495 Heparin, Low-Molecular-Weight Heparin fractions with a molecular weight usually between 4000 and 6000 kD. These low-molecular-weight fractions are effective antithrombotic agents. Their administration reduces the risk of hemorrhage, they have a longer half-life, and their platelet interactions are reduced in comparison to unfractionated heparin. They also provide an effective prophylaxis against postoperative major pulmonary embolism. LMWH,Low-Molecular-Weight Heparin,Low Molecular Weight Heparin,Heparin, Low Molecular Weight
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Doppler ultrasonic screening prior to venography for deep venous thrombosis.
September 1977, AJR. American journal of roentgenology,
I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Colour Doppler ultrasound in deep venous thrombosis: a comparison with venography.
July 1990, Clinical radiology,
I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Insensitivity of color Doppler flow imaging for detection of acute calf deep venous thrombosis in asymptomatic postoperative patients.
January 1993, Journal of vascular and interventional radiology : JVIR,
I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Diagnosis of deep venous thrombosis: accuracy of colour doppler ultrasound compared with venography.
August 1995, Singapore medical journal,
I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Diagnosis of acute deep venous thrombosis of the lower extremities: prospective evaluation of color Doppler flow imaging versus venography.
September 1994, Radiology,
I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Diagnosis of acute deep venous thrombosis of the lower extremities: prospective evaluation of color Doppler flow imaging versus venography.
April 1995, Radiology,
I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Magnetic resonance venography and venous ultrasonography for diagnosing deep venous thrombosis.
January 2010, Saudi medical journal,
I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Assessment of deep venous thrombosis in the lower extremity in Behçet's syndrome: MR venography versus Doppler ultrasonography.
August 2019, Internal and emergency medicine,
I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Magnetic resonance venography for the detection of deep venous thrombosis: comparison with contrast venography and duplex Doppler ultrasonography.
November 1993, Journal of vascular surgery,
I Lausen, and R Jensen, and P Wille-Jørgensen, and L N Jørgensen, and M S Rasmussen, and K M Lyng, and M Andersen, and H O Raaschou
Radionuclide venography as an outpatient screening test for deep venous thrombosis.
December 1980, Annals of emergency medicine,
Copied contents to your clipboard!