Original articleContrast venography: from gold standard to ‘golden backup’ in clinically suspected deep vein thrombosis
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Cited by (85)
Diagnosis of deep vein thrombosis of the lower extremity: A systematic review and meta-analysis of test accuracy
2020, Blood AdvancesCitation Excerpt :Of the included studies, 41 reported on any suspected lower extremity DVT14-55 and 2 studies reported specifically on patients with recurrent DVT.56,57 Any suspected DVT studies reported the test accuracy of the following index tests: 13 studies on proximal compression US14-26 in comparison with a reference standard, 10 reported on whole-leg US,27-33,51-53 6 reported on serial US,14,18,34-37 and 16 reported on D-dimer for the diagnosis of DVT of the lower extremities.36,38-50,54,55 Studies assessing the accuracy of US used venography as a reference standard with some including clinical follow-up, whereas reference standards for D-dimer tests were mainly proximal compression or whole-leg US.
Diagnosis and Treatment of Pulmonary Embolism: What Have We Learned in the Last 50 Years?
2020, American Journal of MedicineAmerican Society of Hematology 2018 guidelines for management of venous thromboembolism: Diagnosis of venous thromboembolism
2018, Blood AdvancesCitation Excerpt :Additionally, we included 9 studies and 5126 patients to inform the effect of performing a test on patient important outcomes for patients suspected of having DVT. The references for the included studies are as follows: proximal compression ultrasound84-96; whole-leg ultrasound97-103; serial ultrasound84,88,104-107; D-dimer.106-119 Question: In a patient population with a low clinical probability of lower extremity DVT, what is the optimal diagnostic strategy to evaluate for suspected first episode DVT?
Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism: New Imaging Tools and Modalities
2018, Clinics in Chest MedicineCitation Excerpt :Contrast venography is an invasive procedure in which venous opacification is evaluated in real time. Although the gold standard for the detection of DVT, this method is rarely practiced outside of expert centers, where it is often used in the context of intervention.1,2 This is in large part due to the myriad of noninvasive imaging techniques that are now widely available, and in particular, the use of ultrasound examination in the diagnosis of DVT.
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2018, Thrombosis ResearchLong-term adverse effects associated with isolated below-knee deep-vein thrombosis: a 10-year follow-up study
2016, Clinical RadiologyCitation Excerpt :In the diagnosis of DVT, the use of contrast venography (CV) has been superseded by Doppler ultrasound, due to the combination of ease of access, non-invasive nature, and lack of requirement for ionising radiation.2,3 Although CV enjoyed “reference standard” status in detection of both proximal and distal DVT,4,5 ultrasound offers sufficiently high sensitivity of around 97% for diagnosis of proximal-vein DVT6,7; however, for detection of isolated distal-vein DVT, ultrasound has a poorer sensitivity of only around 73%,6 resulting in some cases of isolated below-knee DVT going undiagnosed. Because of the reduced sensitivity of ultrasound compared with CV at detecting below-knee DVT, it is less reliable for assessment of the long-term outcome with regards to recurrent VTE and PTS in this patient population.