Contact Thermography, 99mTc-Plasmin Scintimetry and 99mTc-Plasmin Scintigraphy as Screening Methods for Deep Venous Thrombosis Following Major Hip Surgery
1987; Thieme Medical Publishers (Germany); Volume: 58; Issue: 03 Linguagem: Inglês
10.1055/s-0038-1645999
ISSN2567-689X
AutoresS. Winter Christensen, Torben Jørgensen, Lasse Kjær, C. Stadeager, Alice Widding, Aa. Vestergaard, A Bjerg-Nielsen,
Tópico(s)Thermography and Photoacoustic Techniques
ResumoSummary Fifty-six patients scheduled for total hip alloplasty were screened for deep venous thrombosis by means of 99mTc-plasmin scintimetry, 99mTc-plasmin scintigraphy and contact thermography. Investigations were performed on the seventh postoperative day, and a total of 112 legs were examined. Bilateral ascending phlebography was used as reference procedure, and the criteria for deep venous thrombosis were intraluminal filling defects at phlebography. Six patients developed unilateral deep venous thrombosis. All three screening procedures revealed many false positive and several false negative results. The nosographic sensitivity/specificity was 33%/75% for scintimetry, 50%/91% for scintigraphy and 33%/87% for contact thermography, respectively. It is concluded that all three tests are of no value as screening methods for deep venous thrombosis following major elective hip surgery.
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