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. 1982 Jun;195(6):800–803. doi: 10.1097/00000658-198206000-00018

A three-year experience with phleborheography: a noninvasive technique for the diagnosis of deep venous thrombosis.

J N Classen, J B Richardson, C Koontz
PMCID: PMC1352687  PMID: 7082071

Abstract

The need for a reliable noninvasive method to detect deep venous thrombosis (DVT) is apparent from its prevalence, the fallibility of its clinical diagnosis, and the several drawbacks of phlebography. Experience with phleborheography (a plethysmographic technique for detecting DVT) over three years is presented. Phleborheography (PRG) is found to have an overall accuracy of 93% compared to phlebography. It is recommended that treatment decisions can be based on unequivocal PRG results, and PRG should be used to screen high risk patients. The medical, economic, and social benefits of PRG are described.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barnes R. W., Hokanson D. E., Wu K. K., Hoak J. C. Detection of deep vein thrombosis with an automatic electrically calibrated strain gauge plethysmograph. Surgery. 1977 Aug;82(2):219–223. [PubMed] [Google Scholar]
  2. Bynum L. J., Wilson J. E., 3rd, Crotty C. M., Curry T. S., 3rd, Smitson H. L. Noninvasive diagnosis of deep venous thrombosis by phleborheography. Ann Intern Med. 1978 Aug;89(2):162–166. doi: 10.7326/0003-4819-89-2-162. [DOI] [PubMed] [Google Scholar]
  3. COON W. W., COLLER F. A. Clinicopathologic correlation in thromboembolism. Surg Gynecol Obstet. 1959 Sep;109:259–269. [PubMed] [Google Scholar]
  4. Collins G. J., Jr, Rich N. M., Andersen C. A., McDonald P. T., Kozloff L. Phleborheographic diagnosis of venous obstruction. Ann Surg. 1979 Jan;189(1):25–28. doi: 10.1097/00000658-197901000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Cranley J. J., Canos A. J., Sull W. J., Grass A. M. Phleborheographic technique for diagnosing deep venous thrombosis of the lower extremities. Surg Gynecol Obstet. 1975 Sep;141(3):331–339. [PubMed] [Google Scholar]
  6. Cranley J. J., Canos A. J., Sull W. J. The diagnosis of deep venous thrombosis. Fallibility of clinical symptoms and signs. Arch Surg. 1976 Jan;111(1):34–36. doi: 10.1001/archsurg.1976.01360190036005. [DOI] [PubMed] [Google Scholar]
  7. Finley R. K., Jr, Miller S. F. The use of phleborheography to detect deep venous obstruction. Am Surg. 1980 Aug;46(8):439–440. [PubMed] [Google Scholar]
  8. Haeger K. Problems of acute deep venous thrombosis. I. The interpretation of signs and symptoms. Angiology. 1969 Apr;20(4):219–223. doi: 10.1177/000331976902000406. [DOI] [PubMed] [Google Scholar]
  9. Nicholas G. G., Miller F. J., Demuth W. E., Jr, Waldhausen J. A. Clinical vascular laboratory diagnosis of deep venous thrombosis. Ann Surg. 1977 Aug;186(2):213–215. doi: 10.1097/00000658-197708000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Stallworth J. M., Plonk G. W., Jr, Horne J. B. Negative phleborheography: clinical follow-up in 593 patients. Arch Surg. 1981 Jun;116(6):795–797. doi: 10.1001/archsurg.1981.01380180051010. [DOI] [PubMed] [Google Scholar]
  11. Wheeler H. B., O'Donnell J. A., Anderson F. A., Jr, Benedict K., Jr Occlusive impedance phlebography: a diagnostic procedure for venous thrombosis and pulmonary embolism. Prog Cardiovasc Dis. 1974 Nov-Dec;17(3):199–205. doi: 10.1016/0033-0620(74)90044-9. [DOI] [PubMed] [Google Scholar]

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