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[Detection of venous occlusions of the leg and pelvis by means of nuclear medicine].
Acta Med Austriaca. 1976; 3(4):120-5.AM

Abstract

Based upon experience with 563 patients, the 131 I fibrinogen test has proven a reliable method for the diagnosis of acute leg vein thrombosis. Investigations correlated by means of roentgenological phlebography performed by routine technique in 83 patients showed similar results in 77% of the cases. Analyzing the negative results of 23%, we consider 19% of the discrepancies to be due to faulty phlebographic and 4% to faulty fibrinogen results. Phlebography may reveal false positive results in recurrent thromboses and false negative results in thrombosis of the lower legs. The fibrinogen test may reveal false positive results after trauma, fractures, and in cases of superficial phlebitis and arthritis. Pelvic venous occlusions are detectable by radionuclid venography. This method is non-invasive (injection of 99m Tc albumin particels or microspheres in less than 1 ml, by means of a very thin needle into a dorsal foot vein). A lung scan is obtained in every examination. The results conformed in 89% of 250 patients with those obtained from Doppler ultrasonic investigations. Two thirds of all pelvic vein thromboses were located on the left side. Perfusion defects of the lungs were probably caused by pulmonary embolism (lung scanning) and were found in an average of 54% of all leg and pelvic vein thromboses (in thrombosis of the lower legs in 35%, of the thigh in 57% and of the pelvic vein in 70%). These figures are in good conformity with pathological-anatomical data concerning the frequency of pulmonary emboli and infarctions in leg and pelvic vein thrombosis.

Authors

Mostbeck A
No affiliation info available
Lofferer O
No affiliation info available
Partsch H
No affiliation info available

MeSH

AdultAge FactorsFemaleFibrinogenHumansIodine RadioisotopesLegMaleMiddle AgedPelvisPhlebographyPulmonary EmbolismRadioisotopesRadionuclide ImagingSex FactorsTechnetiumThrombophlebitis

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

1007840

Citation

Mostbeck, A, et al. "[Detection of Venous Occlusions of the Leg and Pelvis By Means of Nuclear Medicine]." Acta Medica Austriaca, vol. 3, no. 4, 1976, pp. 120-5.
Mostbeck A, Lofferer O, Partsch H. [Detection of venous occlusions of the leg and pelvis by means of nuclear medicine]. Acta Med Austriaca. 1976;3(4):120-5.
Mostbeck, A., Lofferer, O., & Partsch, H. (1976). [Detection of venous occlusions of the leg and pelvis by means of nuclear medicine]. Acta Medica Austriaca, 3(4), 120-5.
Mostbeck A, Lofferer O, Partsch H. [Detection of Venous Occlusions of the Leg and Pelvis By Means of Nuclear Medicine]. Acta Med Austriaca. 1976;3(4):120-5. PubMed PMID: 1007840.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Detection of venous occlusions of the leg and pelvis by means of nuclear medicine]. AU - Mostbeck,A, AU - Lofferer,O, AU - Partsch,H, PY - 1976/1/1/pubmed PY - 1976/1/1/medline PY - 1976/1/1/entrez SP - 120 EP - 5 JF - Acta medica Austriaca JO - Acta Med Austriaca VL - 3 IS - 4 N2 - Based upon experience with 563 patients, the 131 I fibrinogen test has proven a reliable method for the diagnosis of acute leg vein thrombosis. Investigations correlated by means of roentgenological phlebography performed by routine technique in 83 patients showed similar results in 77% of the cases. Analyzing the negative results of 23%, we consider 19% of the discrepancies to be due to faulty phlebographic and 4% to faulty fibrinogen results. Phlebography may reveal false positive results in recurrent thromboses and false negative results in thrombosis of the lower legs. The fibrinogen test may reveal false positive results after trauma, fractures, and in cases of superficial phlebitis and arthritis. Pelvic venous occlusions are detectable by radionuclid venography. This method is non-invasive (injection of 99m Tc albumin particels or microspheres in less than 1 ml, by means of a very thin needle into a dorsal foot vein). A lung scan is obtained in every examination. The results conformed in 89% of 250 patients with those obtained from Doppler ultrasonic investigations. Two thirds of all pelvic vein thromboses were located on the left side. Perfusion defects of the lungs were probably caused by pulmonary embolism (lung scanning) and were found in an average of 54% of all leg and pelvic vein thromboses (in thrombosis of the lower legs in 35%, of the thigh in 57% and of the pelvic vein in 70%). These figures are in good conformity with pathological-anatomical data concerning the frequency of pulmonary emboli and infarctions in leg and pelvic vein thrombosis. SN - 0303-8173 UR - https://www.unboundmedicine.com/medline/citation/1007840/[Detection_of_venous_occlusions_of_the_leg_and_pelvis_by_means_of_nuclear_medicine]_ DB - PRIME DP - Unbound Medicine ER -