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Diagnosis of deep vein thrombosis, an overview.
Neth J Med. 1996 Mar; 48(3):109-21.NJ

Abstract

Because clinical signs and symptoms are unreliable the diagnosis of deep vein thrombosis (DVT) should be objectified. Advantages and disadvantages of contrast venography, plethysmography, ultrasound techniques, fibrinogen leg scanning, computer-assisted tomography, magnetic resonance imaging and blood tests are discussed. In patients with a first event of suspected DVT non-invasive methods like serial plethysmography or ultrasound testing are sensitive and specific enough to make a treatment decision. It is safe to withhold anticoagulants if the test remains normal within 1 week. In patients with suspected recurrent DVT new non-invasive techniques are being tested, but up to now the definitive objective diagnostic test continues to be contrast venography. In first period as well as in recurrent DVT D-Dimer testing could be an additional test to exclude active thromboembolism.

Authors+Show Affiliations

Department of Medicine, University Hospital, Nijmegen, Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

8935753

Citation

Janssen, M C., et al. "Diagnosis of Deep Vein Thrombosis, an Overview." The Netherlands Journal of Medicine, vol. 48, no. 3, 1996, pp. 109-21.
Janssen MC, Wollersheim H, Nováková IR, et al. Diagnosis of deep vein thrombosis, an overview. Neth J Med. 1996;48(3):109-21.
Janssen, M. C., Wollersheim, H., Nováková, I. R., Heystraten, F. M., van Asten, W. N., & Thien, T. (1996). Diagnosis of deep vein thrombosis, an overview. The Netherlands Journal of Medicine, 48(3), 109-21.
Janssen MC, et al. Diagnosis of Deep Vein Thrombosis, an Overview. Neth J Med. 1996;48(3):109-21. PubMed PMID: 8935753.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis of deep vein thrombosis, an overview. AU - Janssen,M C, AU - Wollersheim,H, AU - Nováková,I R, AU - Heystraten,F M, AU - van Asten,W N, AU - Thien,T, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - 109 EP - 21 JF - The Netherlands journal of medicine JO - Neth J Med VL - 48 IS - 3 N2 - Because clinical signs and symptoms are unreliable the diagnosis of deep vein thrombosis (DVT) should be objectified. Advantages and disadvantages of contrast venography, plethysmography, ultrasound techniques, fibrinogen leg scanning, computer-assisted tomography, magnetic resonance imaging and blood tests are discussed. In patients with a first event of suspected DVT non-invasive methods like serial plethysmography or ultrasound testing are sensitive and specific enough to make a treatment decision. It is safe to withhold anticoagulants if the test remains normal within 1 week. In patients with suspected recurrent DVT new non-invasive techniques are being tested, but up to now the definitive objective diagnostic test continues to be contrast venography. In first period as well as in recurrent DVT D-Dimer testing could be an additional test to exclude active thromboembolism. SN - 0300-2977 UR - https://www.unboundmedicine.com/medline/citation/8935753/Diagnosis_of_deep_vein_thrombosis_an_overview_ L2 - https://linkinghub.elsevier.com/retrieve/pii/0300297795000593 DB - PRIME DP - Unbound Medicine ER -