Diagnosis of floating venous thrombi by spiral CT phlebography
Evaluation by means of spiral CT as to whether or not a thrombus in a proximal deep vein of the leg is floating or adherent to the vessel wall. Local application of contrast agent into an ipsilateral dorsal foot vein and spiral CT were used to examine 16 consecutive cases with deep venous thrombosis...
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Veröffentlicht in: | RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren 1996-05, Vol.164 (5), p.376-381 |
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creator | Gartenschläger, M Klose, K J Schmidt, J A |
description | Evaluation by means of spiral CT as to whether or not a thrombus in a proximal deep vein of the leg is floating or adherent to the vessel wall.
Local application of contrast agent into an ipsilateral dorsal foot vein and spiral CT were used to examine 16 consecutive cases with deep venous thrombosis proven at conventional venography; in addition, colour Doppler flow imaging was performed.
At conventional venography, 8/16 thrombi appeared to be floating and the remaining 8/16 were adherent to the vessel wall. Spiral-CT showed 15/16 thrombi to be adherent to the vessel wall; the floating thrombus correlated with findings in conventional venography. At colour Doppler flow imaging 3/16 thrombi were considered floating, one of them was discordant to conventional venography. The comparison of conventional venography to spiral-CT demonstrates complete agreement for adherence to vessel wall seen in conventional venography (p = 1,0) and significant discordance in cases with free-floating appearance in conventional venography (p = 0,0002).
Adherence of thrombi to the wall of the vessel at conventional venography is in agreement with computed tomography. Conventional venography probably overestimates the prevalence of free floating thrombi. |
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Local application of contrast agent into an ipsilateral dorsal foot vein and spiral CT were used to examine 16 consecutive cases with deep venous thrombosis proven at conventional venography; in addition, colour Doppler flow imaging was performed.
At conventional venography, 8/16 thrombi appeared to be floating and the remaining 8/16 were adherent to the vessel wall. Spiral-CT showed 15/16 thrombi to be adherent to the vessel wall; the floating thrombus correlated with findings in conventional venography. At colour Doppler flow imaging 3/16 thrombi were considered floating, one of them was discordant to conventional venography. The comparison of conventional venography to spiral-CT demonstrates complete agreement for adherence to vessel wall seen in conventional venography (p = 1,0) and significant discordance in cases with free-floating appearance in conventional venography (p = 0,0002).
Adherence of thrombi to the wall of the vessel at conventional venography is in agreement with computed tomography. Conventional venography probably overestimates the prevalence of free floating thrombi.</description><identifier>ISSN: 1438-9029</identifier><identifier>PMID: 8634397</identifier><language>ger</language><publisher>Germany</publisher><subject>Aged ; Diagnosis, Differential ; Evaluation Studies as Topic ; Female ; Humans ; Male ; Middle Aged ; Phlebography ; Thrombophlebitis - diagnostic imaging ; Tomography, X-Ray Computed - methods ; Ultrasonography, Doppler, Color</subject><ispartof>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren, 1996-05, Vol.164 (5), p.376-381</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8634397$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gartenschläger, M</creatorcontrib><creatorcontrib>Klose, K J</creatorcontrib><creatorcontrib>Schmidt, J A</creatorcontrib><title>Diagnosis of floating venous thrombi by spiral CT phlebography</title><title>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren</title><addtitle>Rofo</addtitle><description>Evaluation by means of spiral CT as to whether or not a thrombus in a proximal deep vein of the leg is floating or adherent to the vessel wall.
Local application of contrast agent into an ipsilateral dorsal foot vein and spiral CT were used to examine 16 consecutive cases with deep venous thrombosis proven at conventional venography; in addition, colour Doppler flow imaging was performed.
At conventional venography, 8/16 thrombi appeared to be floating and the remaining 8/16 were adherent to the vessel wall. Spiral-CT showed 15/16 thrombi to be adherent to the vessel wall; the floating thrombus correlated with findings in conventional venography. At colour Doppler flow imaging 3/16 thrombi were considered floating, one of them was discordant to conventional venography. The comparison of conventional venography to spiral-CT demonstrates complete agreement for adherence to vessel wall seen in conventional venography (p = 1,0) and significant discordance in cases with free-floating appearance in conventional venography (p = 0,0002).
Adherence of thrombi to the wall of the vessel at conventional venography is in agreement with computed tomography. Conventional venography probably overestimates the prevalence of free floating thrombi.</description><subject>Aged</subject><subject>Diagnosis, Differential</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Phlebography</subject><subject>Thrombophlebitis - diagnostic imaging</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Ultrasonography, Doppler, Color</subject><issn>1438-9029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotj01LxDAYhHNQ1nX1Jwg5eStkk6ZtLoLUjxUWvPRekuZNG0mbmLRC_70V9zAzl4dh5grtjzmrMkGouEG3KX0RkpMjEzu0qwqWM1Hu0dOLlf3kk03YG2ycl7OdevwDk18SnofoR2WxWnEKNkqH6waHwYHyfZRhWO_QtZEuwf0lD6h5e23qU3b-fP-on89Z4KzMpFDUCP3nYIguheSqoooIXXDQPIeOQEc7TjcVUmmjFeRSdVByUzEh2QE9_teG6L8XSHM72tSBc3KCbWdbVoSXVPANfLiAixpBtyHaUca1vfxlv8S9UgU</recordid><startdate>199605</startdate><enddate>199605</enddate><creator>Gartenschläger, M</creator><creator>Klose, K J</creator><creator>Schmidt, J A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199605</creationdate><title>Diagnosis of floating venous thrombi by spiral CT phlebography</title><author>Gartenschläger, M ; Klose, K J ; Schmidt, J A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p537-a9b2f9d9b2fef0d79a5b82b09d65ed54ec0ec2c522c56abdfdbe4abce75f839a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Diagnosis, Differential</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Phlebography</topic><topic>Thrombophlebitis - diagnostic imaging</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Ultrasonography, Doppler, Color</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gartenschläger, M</creatorcontrib><creatorcontrib>Klose, K J</creatorcontrib><creatorcontrib>Schmidt, J A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gartenschläger, M</au><au>Klose, K J</au><au>Schmidt, J A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis of floating venous thrombi by spiral CT phlebography</atitle><jtitle>RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren</jtitle><addtitle>Rofo</addtitle><date>1996-05</date><risdate>1996</risdate><volume>164</volume><issue>5</issue><spage>376</spage><epage>381</epage><pages>376-381</pages><issn>1438-9029</issn><abstract>Evaluation by means of spiral CT as to whether or not a thrombus in a proximal deep vein of the leg is floating or adherent to the vessel wall.
Local application of contrast agent into an ipsilateral dorsal foot vein and spiral CT were used to examine 16 consecutive cases with deep venous thrombosis proven at conventional venography; in addition, colour Doppler flow imaging was performed.
At conventional venography, 8/16 thrombi appeared to be floating and the remaining 8/16 were adherent to the vessel wall. Spiral-CT showed 15/16 thrombi to be adherent to the vessel wall; the floating thrombus correlated with findings in conventional venography. At colour Doppler flow imaging 3/16 thrombi were considered floating, one of them was discordant to conventional venography. The comparison of conventional venography to spiral-CT demonstrates complete agreement for adherence to vessel wall seen in conventional venography (p = 1,0) and significant discordance in cases with free-floating appearance in conventional venography (p = 0,0002).
Adherence of thrombi to the wall of the vessel at conventional venography is in agreement with computed tomography. Conventional venography probably overestimates the prevalence of free floating thrombi.</abstract><cop>Germany</cop><pmid>8634397</pmid><tpages>6</tpages></addata></record> |
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ispartof | RöFo : Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebende Verfahren, 1996-05, Vol.164 (5), p.376-381 |
issn | 1438-9029 |
language | ger |
recordid | cdi_proquest_miscellaneous_78057295 |
source | MEDLINE; Thieme Connect Journals |
subjects | Aged Diagnosis, Differential Evaluation Studies as Topic Female Humans Male Middle Aged Phlebography Thrombophlebitis - diagnostic imaging Tomography, X-Ray Computed - methods Ultrasonography, Doppler, Color |
title | Diagnosis of floating venous thrombi by spiral CT phlebography |
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