Deep venous thrombophlebitis following aortoiliac reconstructive surgery

Journal Article · Wed Sep 01 00:00:00 EDT 1982 · Arch. Surg. (Chicago); (United States)

DOI:https://doi.org/10.1001/archsurg.1982.01380330068016· OSTI ID:6641180

Reilly, M K; McCabe, C J; Abbott, W M; Brewster, D C; Moncure, A C; Reidy, N C; Darling, R C

One hundred patients undergoing elective aortic surgery were scanned prospectively for development of deep venous thrombosis (DVT). The incidence of DVT in this population was 13%. Eleven patients showed only calf vein thrombosis on venography, whereas two had occlusive iliofemoral thrombus. The correlation between venous Doppler ultrasound and venography was 80%. More importantly, Doppler examination correctly identified both patients with occlusive thrombus. Fibrinogen scanning was associated with a false-positive rate of 31%. Only one patient suffered a nonfatal pulmonary embolus. Fibrinogen scanning has an unacceptably high false-positive rate; however, Doppler ultrasound will identify significant occlusive thrombus without a high false-positive rate. The low incidence of pulmonary emboli does not warrant such definitive measures as prophylactic vena caval interruption.

• Research Organization: Department of Surgery, Massachusetts General Hospital, Boston
• OSTI ID: 6641180
• Journal Information: Arch. Surg. (Chicago); (United States), Vol. 117:9
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
59 BASIC BIOLOGICAL SCIENCES
SURGERY
SIDE EFFECTS
THROMBOSIS
DIAGNOSIS
VEINS
SCINTISCANNING
AORTA
COMPARATIVE EVALUATIONS
PATIENTS
ULTRASONOGRAPHY
ARTERIES
BLOOD VESSELS
BODY
CARDIOVASCULAR DISEASES
CARDIOVASCULAR SYSTEM
COUNTING TECHNIQUES
DIAGNOSTIC TECHNIQUES
DISEASES
MEDICINE
ORGANS
RADIOISOTOPE SCANNING
VASCULAR DISEASES
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