Deep vein thrombosis. Diagnosis and management

In at least 50% of patients with suspected deep vein thrombosis, the diagnosis is not confirmed by objective testing. The addition of impedance plethysmography and real-time B-mode ultrasound with color-enhanced Doppler imaging to the available diagnostic modalities has altered the approach to clini...

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Bibliographic Details
Published inThe Medical clinics of North America Vol. 78; no. 3; p. 685
Main Authors Baker, Jr, W F, Bick, R L
Format Journal Article
LanguageEnglish
Published United States 01.05.1994
Subjects
Anticoagulants - therapeutic use
Diagnostic Imaging
Humans
Thrombolytic Therapy
Thrombophlebitis - diagnosis
Thrombophlebitis - drug therapy
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Summary:In at least 50% of patients with suspected deep vein thrombosis, the diagnosis is not confirmed by objective testing. The addition of impedance plethysmography and real-time B-mode ultrasound with color-enhanced Doppler imaging to the available diagnostic modalities has altered the approach to clinical evaluation. Pharmacologic treatment has evolved to place emphasis on the use of subcutaneous heparins of greater efficacy and the reduction of hemorrhagic risk with the use of the INR system when warfarin is recommended for long-term therapy. Use of new approaches for diagnosis and management offers the potential of more prompt and accurate diagnosis, more effective therapy, and a reduction in the incidence of pulmonary thromboembolism.
ISSN:0025-7125
DOI:10.1016/S0025-7125(16)30153-5