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Diagnostic methods for deep vein thrombosis

H B Wheeler1, F A Anderson

  • 1Department of Surgery, University of Massachusetts Medical School, Worcester 01655.

Haemostasis
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

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Diagnosing deep vein thrombosis (DVT) requires objective confirmation. Ultrasound is now the standard, but other noninvasive tests aid diagnosis in specific cases for high-risk patients.

Area of Science:

  • Vascular Medicine
  • Diagnostic Imaging
  • Hematology

Background:

  • Clinical diagnosis of deep vein thrombosis (DVT) is often unreliable, necessitating objective confirmation before treatment.
  • Traditional venography, the historical gold standard, is being superseded by newer diagnostic methods.

Purpose of the Study:

  • To review the clinical applications of various diagnostic procedures for deep vein thrombosis (DVT).
  • To cover diagnostic modalities for both symptomatic and asymptomatic high-risk patients.
  • To guide the selection of appropriate diagnostic tests based on patient and institutional factors.

Main Methods:

  • Discussion of ultrasonic imaging as the current diagnostic standard.
  • Overview of noninvasive physiologic tests including plethysmography, Doppler flow studies, radioisotope tests, thermography, and peripheral blood tests.

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  • Consideration of diagnostic approaches for symptomatic and asymptomatic individuals.

    • Main Results:

    • Ultrasonic imaging has largely replaced venography in many institutions for DVT diagnosis.
    • Noninvasive tests offer valuable diagnostic information in specific clinical scenarios.
    • The choice of diagnostic method is influenced by institutional resources, cost, and patient-specific factors.

    Conclusions:

    • Objective confirmation is essential for deep vein thrombosis (DVT) diagnosis and treatment.
    • A range of diagnostic tools, from ultrasound to noninvasive physiologic tests, are available.
    • The optimal diagnostic strategy for DVT is individualized, considering clinical context and available resources.