Related Experiment Videos
[Exploratory strategy in venous thromboembolic disease]
1Service de Cardiologie, CHU La Timone, Marseille.
Annales De Cardiologie Et D'Angeiologie
|October 1, 1989
Summary
Clinical signs for deep venous thrombosis (DVT) lack reliability. Objective diagnostic methods like ultrasonography-Doppler are preferred, especially for symptomatic patients, offering a reliable alternative to older techniques.
Area of Science:
- Vascular Medicine
- Diagnostic Imaging
- Hematology
Context:
- Clinical diagnosis of deep venous thrombosis (DVT) relies on objective methods due to unreliable clinical signs.
- Various diagnostic techniques are employed, including invasive and non-invasive imaging, hemodynamic assessments, isotopic studies, and biological markers.
Purpose:
- To review and compare the advantages, limitations, and indications of different diagnostic methods for DVT.
- To guide the selection of appropriate exploration techniques based on clinical context and test accuracy.
Summary:
- Phlebography, ultrasonography with Doppler, plethysmography, isotopic fibrinogen leg scanning, and D-dimer assays are discussed.
- Ultrasonography-Doppler is increasingly favored for its reliability in symptomatic patients, largely replacing phlebography, hemodynamic, and isotopic tests.
- Test selection depends on DVT prevalence and clinical factors like patient status and symptoms.
Impact:
- Highlights the shift towards non-invasive, objective diagnostic tools in DVT management.
- Emphasizes the importance of tailored diagnostic strategies for optimizing patient care and outcomes.
- Identifies ultrasonography-Doppler as a leading diagnostic modality, while noting areas for further research in specific patient populations.