Deep Vein Thrombosis and Duplex Ultrasound

Letters and Corrections15 February 1990Deep Vein Thrombosis and Duplex UltrasoundJ. S. Ginsberg, MD, P. Brill-Edwards, MD, G. Agnelli, MDJ. S. Ginsberg, MDSearch for more papers by this author, P. Brill-Edwards, MDSearch for more papers by this author, G. Agnelli, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-112-4-307 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editor:The article by White and colleagues (1) addresses the clinical utility of duplex ultrasound for the diagnosis of venous thrombosis. Duplex ultrasound appears to be sensitive and specific for the diagnosis of proximal but not calf vein thrombosis in symptomatic outpatients. It is highly likely that the test will need to be repeated at least once (and possibly on several occasions) in such patients to exclude extending calf vein thrombosis. Thus, we agree with the authors' statement that one test may be cheaper than contrast venography; however, with the need for serial testing, the cost of the...References1. WhiteMcGahanDaschbachHartling RJMR. Diagnosis of deep vein thrombosis using duplex ultrasound. Ann Intern Med. 1989;111:297-304. LinkGoogle Scholar2. HuismanBullerten CateVreeken MHJJ. Serial impedance plethysmography for suspected deep venous thrombosis in out-patients. N Engl J Med. 1986;314:823-8. CrossrefMedlineGoogle Scholar3. HullHirshCarter RJC. Diagnostic efficacy of impedance plethysmography for clinically suspected deep-vein thrombosis. A randomized trial. Ann Intern Med. 1985;102:21-8. LinkGoogle Scholar4. HuismanBullerten CateHeijermansvan der Laanvan Maanen MHJHJD. Management of clinically suspected acute venous thrombosis in outpatients with serial impedance plethysmography in a community hospital setting. Arch Intern Med. 1989;149:511-3. CrossrefMedlineGoogle Scholar5. BorrisChristiansenLassenOlsenSchott LHMAP. Comparison of real-time B-mode ultrasonography and bilateral ascending phlebography for detection of postoperative deep vein thrombosis following elective hip surgery. Thromb Haemost. 1989;61:363-5. CrossrefMedlineGoogle Scholar1. WhiteMcGahanDaschbachHartling RJMR. Diagnosis of deep-vein thrombosis using duplex ultrasound. Ann Intern Med. 1989;111:297-304. LinkGoogle Scholar2. RosnerDoris NP. Diagnosis of femoropopliteal venous thrombosis: comparison of duplex sonography and plethysmography. AJR. 1988;150:623-7. CrossrefMedlineGoogle Scholar3. PattersonFowlKellerSchomakerKempczinski RRJWR. The limitations of impedance plethysmography in the diagnosis of acute deep vein thrombosis. J Vase Surg. 1989;9:725-30. CrossrefMedlineGoogle Scholar4. HuismanBullerten CateVreeken MHJJ. Serial impedance plethysmography for suspected deep venous thrombosis in outpatients. N Engl J Med. 1986;314:823-8. CrossrefMedlineGoogle Scholar5. PolakCulterO'Leary JBD. Deep veins of the calf: assessment with color Doppler flow imaging. Radiology. 1989;171:481-5. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 February 1990Volume 112, Issue 4Page: 307-308KeywordsDeep vein thrombosisOutpatientsUltrasound imagingVeins Issue Published: 15 February 1990 PDF DownloadLoading ...