This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (76)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Mark Langsfeld, MD; Falls B. Hershey, MD; Lynn Thorpe, RN; Arthur I. Auer, MD; H. Bradley Binnington, MD; Joseph J. Hurley, MD; John J. Woods, MD

Arch Surg. 1987;122(5):587-591.

Abstract
• Real-time B-mode venous imaging has numerous advantages for the diagnosis of acute deep venous thrombosis (DVT). During the 11 months ending Feb 1, 1986, we examined 431 patients for possible acute DVT using a 5-MHz hand-held continuous wave Doppler stethoscope and a duplex real-time B-mode imager. Clots were seen in 86 patients in multiple views and cross sections. Normal veins completely collapsed with probe pressure on the skin. Blood flow was seen and heard, and abnormal flow was detected. There were no false-negatives (100% sensitivity). Early in the study, two false-positives occurred (78% specificity), but these errors will not recur. These tests are accurate, noninvasive, and inexpensive. They differentiate acute from chronic thrombosis and are repeatable. Duplex imaging may become the "gold standard" for the diagnosis of DVT.

(Arch Surg 1987;122:587-591)

Author Affiliations
From the Department of Surgery, St Louis University Hospitals (Dr Langsfeld); and the Department of Vascular Surgery (Drs Hershey, Auer, Binnington, Hurley, and Woods) and the Vascular Laboratory (Ms Thorpe), St John's Mercy Medical Center, St Louis.

Footnotes
Accepted for publication Jan 12, 1987.

Read before the 94th Annual Meeting of the Western Surgical Association, Dearborn, Mich, Nov 18, 1986.

Reprint requests to 621 S New Ballas Rd, Suite 307, St Louis, MO 63141 (Dr Hershey).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Local Venous Thrombosis After Cardiac Catheterization
Zahn et al.
ANGIOLOGY 1997;48:1-7.
ABSTRACT  

Deep Venous Thrombosis after Total Joint Arthroplasty. The Role of Compression Ultrasonography and the Importance of the Experience of the Technician
GARINO et al.
JBJS 1996;78:1359-65.
ABSTRACT | FULL TEXT  

Echogenic Types of Venous Thrombi in the Common Femoral Vein by Ultrasonic B-Mode Imaging
Ohgi et al.
VASC ENDOVASCULAR SURG 1991;25:253-258.
ABSTRACT  

Occult Inferior Vena Cava Thrombosis: Diagnosis by Sonography Case Reports
Khurana and Friedman
ANGIOLOGY 1991;42:162-166.
ABSTRACT  

Deep Venous Thrombosis of the Lower Extremity: Current Sonographic Concepts and Techniques
Arkfeld et al.
Journal of Diagnostic Medical Sonography 1991;7:2-6.
ABSTRACT  

Diagnosis of Deep-Vein Thrombosis Using Duplex Ultrasound
White et al.
ANN INTERN MED 1989;111:297-304.
ABSTRACT  

Duplex Venous Scanning for the Prospective Surveillance of Perioperative Venous Thrombosis
Flinn et al.
Arch Surg 1989;124:901-905.
ABSTRACT  

Real-Time Ultrasonography for the Diagnosis of Lower Extremity Deep Venous Thrombosis: The Wave of the Future?
BECKER et al.
Arch Intern Med 1989;149:1731-1734.
ABSTRACT  

Immunoscintigraphic Detection of Venous Thrombosis of the Lower Extremities by Means of Human Antifibrin Monoclonal Antibodies Labeled with 111In
Lusiani et al.
ANGIOLOGY 1989;40:671-677.
ABSTRACT