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  • Title: [Medical, social, economic value of the rational use of non-invasive studies for diagnosing phlebitis. Experience of the Regional Hospital Center of Nimes from 1984 to 1988].
    Author: Laroche JP, Dauzat M, Jakob D, Charras-Arthapignet C, Domingo MM, Sainte-Luce P, Lopez FM, Janbon C.
    Journal: Ann Cardiol Angeiol (Paris); 1989 Oct; 38(8):481-4. PubMed ID: 2688537.
    Abstract:
    Continuous wave Doppler, and B-Mode ultrasound allow the diagnosis of deep venous thrombosis with a 96% sensitivity, and a 98% specificity versus venography (1). Therefore, these methods can be extensively used for the detection of deep venous thrombosis, following a new diagnostic algorithm: X ray venography is used only for the assessment of topographic extent of iliac and caval thrombosis, and when non invasive methods give equivocal results. As a result, the number of X ray venographies significantly decreased since 1984 (7) in Nîmes University Hospital. About 75% of patients with a deep venous thrombosis (diagnosed by non invasive methods) were treated without necessity of X ray venography.
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