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M. Kathleen Reilly, PhD, MD; Charles J. McCabe, MD; William M. Abbott, MD; David C. Brewster, MD; Ashby C. Moncure, MD; Nancy C. Reidy, RN; R. Clement Darling, MD

Arch Surg. 1982;117(9):1210-1211.

Abstract
• One hundred patients undergoing elective aortic surgery were scanned prospectively for development of deep venous thrombosis (DVT). The incidence of DVT in this population was 13%. Eleven patients showed only calf vein thrombosis on venography, whereas two had occlusive iliofemoral thrombus. The correlation between venous Doppler ultrasound and venography was 80%. More importantly, Doppler examination correctly identified both patients with occlusive thrombus. Fibrinogen scanning was associated with a false-positive rate of 31%. Only one patient suffered a nonfatal pulmonary embolus. Fibrinogen scanning has an unacceptably high false-positive rate; however, Doppler ultrasound will identify significant occlusive thrombus without a high false-positive rate. The low incidence of pulmonary emboli does not warrant such definitive measures as prophylactic vena caval interruption.

(Arch Surg 1982;117:1210-1211)

Author Affiliations
From the Department of Surgery, Massachusetts General Hospital, Boston.

Footnotes
Accepted for publication March 4, 1982.

Read before the eighth annual meeting of the New England Society for Vascular Surgery, Waterville Valley, NH, Sept 25, 1981.

Reprint requests to Department of Surgery, Massachusetts General Hospital, Boston, MA 02114 (Dr Abbott).

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