Screening for lower extremity deep venous thrombosis: An improved plethysmographic and Doppler approach
Noninvasive screening of the lower extremities for deep vein thrombosis was performed bilaterally on 1,118 patients. Impedance plethysmography alone was used in 868. Venography in 135 revealed an accuracy of 88 per cent, with a false-negative rate of 5.3 per cent and a false-positive rate of 18.6 pe...
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| Veröffentlicht in: | The American journal of surgery 1978-01, Vol.135 (4), p.529-534 |
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| container_issue | 4 |
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| container_title | The American journal of surgery |
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| creator | Lepore, Timothy J. Savran, Jack Van De Water, Joseph Harrower, Harold W. Yablonski, Michael |
| description | Noninvasive screening of the lower extremities for deep vein thrombosis was performed bilaterally on 1,118 patients. Impedance plethysmography alone was used in 868. Venography in 135 revealed an accuracy of 88 per cent, with a false-negative rate of 5.3 per cent and a false-positive rate of 18.6 per cent. A combined ultrasonic Doppler and modified impedance technic was used in 250 patients. Venography in forty revealed an accuracy of 95 per cent, with a false-positive rate of 10 per cent and no undetected thrombi.
The combined technic, emphasizing the more accurate modality in three anatomic areas, has proven sensitive, specific, and reliable as a screening test for deep venous thrombosis. |
| doi_str_mv | 10.1016/0002-9610(78)90032-6 |
| format | Article |
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The combined technic, emphasizing the more accurate modality in three anatomic areas, has proven sensitive, specific, and reliable as a screening test for deep venous thrombosis.</description><subject>Doppler Effect</subject><subject>False Negative Reactions</subject><subject>False Positive Reactions</subject><subject>Humans</subject><subject>Mass Screening</subject><subject>Phlebography</subject><subject>Physical Phenomena</subject><subject>Physics</subject><subject>Plethysmography, Impedance</subject><subject>Thrombophlebitis - diagnosis</subject><subject>Thrombophlebitis - diagnostic imaging</subject><subject>Thrombophlebitis - epidemiology</subject><subject>Ultrasonography</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1978</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UctOwzAQtBCvUviDHnxCcAjYTuI4HJCq8pQqcQDOlmtvGqMkDnZa6N_jUsRptTuj2d0ZhCaUXFFC-TUhhCUlp-SiEJclISlL-B4aUVGUCRUi3Uejf8oxOgnhI7aUZukROuRpwQgZoeWr9gCd7Za4ch437gs8hu_BQ2uHDTYAPV5D51YBD7V37cIFG27wtMO27b1bg8F9A0O9Ca1betXXVmPVGXzn-jj3WPWRpXR9ig4q1QQ4-6tj9P5w_zZ7SuYvj8-z6TwBxsmQGF7mlArQecW04LwkRhcmS5kwzKQVFxVnWVkpxrgxC02JZlmlGc-VynklynSMzne6ce3nCsIgWxs0NI3qID4hRSpEGZ2KxMkfcbVowcje21b5jdwZE-HbHQzx2LUFL4O20Gkw1oMepHFWUiK3OcityXJrsiyE_M0hqvwAsyN7PA</recordid><startdate>19780101</startdate><enddate>19780101</enddate><creator>Lepore, Timothy J.</creator><creator>Savran, Jack</creator><creator>Van De Water, Joseph</creator><creator>Harrower, Harold W.</creator><creator>Yablonski, Michael</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19780101</creationdate><title>Screening for lower extremity deep venous thrombosis: An improved plethysmographic and Doppler approach</title><author>Lepore, Timothy J. ; Savran, Jack ; Van De Water, Joseph ; Harrower, Harold W. ; Yablonski, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e260t-d695118ec5f2c86690dc7d4328d2d3f68f6249fa226ddbc10c24fc265aa56f893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1978</creationdate><topic>Doppler Effect</topic><topic>False Negative Reactions</topic><topic>False Positive Reactions</topic><topic>Humans</topic><topic>Mass Screening</topic><topic>Phlebography</topic><topic>Physical Phenomena</topic><topic>Physics</topic><topic>Plethysmography, Impedance</topic><topic>Thrombophlebitis - diagnosis</topic><topic>Thrombophlebitis - diagnostic imaging</topic><topic>Thrombophlebitis - epidemiology</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lepore, Timothy J.</creatorcontrib><creatorcontrib>Savran, Jack</creatorcontrib><creatorcontrib>Van De Water, Joseph</creatorcontrib><creatorcontrib>Harrower, Harold W.</creatorcontrib><creatorcontrib>Yablonski, Michael</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>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lepore, Timothy J.</au><au>Savran, Jack</au><au>Van De Water, Joseph</au><au>Harrower, Harold W.</au><au>Yablonski, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Screening for lower extremity deep venous thrombosis: An improved plethysmographic and Doppler approach</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1978-01-01</date><risdate>1978</risdate><volume>135</volume><issue>4</issue><spage>529</spage><epage>534</epage><pages>529-534</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Noninvasive screening of the lower extremities for deep vein thrombosis was performed bilaterally on 1,118 patients. Impedance plethysmography alone was used in 868. Venography in 135 revealed an accuracy of 88 per cent, with a false-negative rate of 5.3 per cent and a false-positive rate of 18.6 per cent. A combined ultrasonic Doppler and modified impedance technic was used in 250 patients. Venography in forty revealed an accuracy of 95 per cent, with a false-positive rate of 10 per cent and no undetected thrombi.
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| ispartof | The American journal of surgery, 1978-01, Vol.135 (4), p.529-534 |
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| language | eng |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
| subjects | Doppler Effect False Negative Reactions False Positive Reactions Humans Mass Screening Phlebography Physical Phenomena Physics Plethysmography, Impedance Thrombophlebitis - diagnosis Thrombophlebitis - diagnostic imaging Thrombophlebitis - epidemiology Ultrasonography |
| title | Screening for lower extremity deep venous thrombosis: An improved plethysmographic and Doppler approach |
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