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Phleborheography of the upper extremity.
Archives of Surgery (Chicago, Ill. : 1960)
|October 1, 1983
Summary
Phleborheography can effectively diagnose upper extremity deep venous thrombosis. This noninvasive screening method shows high accuracy when compared to venography, offering a reliable diagnostic tool.
Area of Science:
- Vascular Medicine
- Diagnostic Imaging
- Medical Technology
Background:
- Phleborheography is a standard noninvasive diagnostic method for lower extremity deep venous thrombosis.
- Deep venous thrombosis (DVT) in the upper extremity, specifically axillary and subclavian veins, presents diagnostic challenges.
Purpose of the Study:
- To evaluate the efficacy of phleborheography for diagnosing upper extremity deep venous thrombosis.
- To present modifications in technique and interpretation for applying phleborheography to the upper extremity.
Main Methods:
- Phleborheography was adapted and applied to diagnose axillary and subclavian venous thrombosis over a ten-year period.
- Technique and interpretation modifications were developed for upper extremity application.
- Results were compared against venography for validation.
Main Results:
- Modified phleborheography demonstrated high diagnostic performance for upper extremity DVT.
- Sensitivity and specificity approached 90% when compared to venography.
- The technique proved useful for screening upper extremity deep venous thrombosis.
Conclusions:
- Phleborheography, with specific modifications, is a valuable noninvasive screening tool for upper extremity deep venous thrombosis.
- The diagnostic accuracy supports its use as an initial examination for suspected axillary and subclavian venous thrombosis.