Abstract
Twenty acute spinal cord injury patients were surveyed for deep venous thrombosis (DVT) by 125I fibrinogen leg scanning, impedance plethysmography (IPG), and venography. Leg scanning was a more sensitive indicator of thrombotic events than IPG or venography. IPG was a reliable indicator of accumulated thrombosis. The incidence of DVT assessed by leg scanning alone was 100 per cent. Its occurrence as determined by either of the screening techniques was found to be considerably greater than those of previous reports.
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References
Bergquist, E, Bergquist, D, Bronge, A, Dahlgren, S & HallbÖÖK, T (1973). Diagnosis of venous thrombosis in the lower limbs. Upsala J. Med. Sci. 78, 191.
Flanc, C, Kakkar, V V & Clarke, M B (1968). The detection of venous thrombosis of the legs using 125-labelled fibrinogen. Brit. J. Surg. 55, 742.
Frisbie, J H, O'Connell, D E, Tow, D E, Sasahara, A A & Belko, J S (1975). Autologous radioiodinated fibrinogen, simplified. J. Nucl. Med. 16, 393.
Gazzaniga, A B, Will, D I, Shobe, J B, Bartlett, R H, Eisenman, J I & Morton, M E (1974). 125I fibrinogen uptake and bilateral impedance rheography. Arch. Surg. 108, 66.
Hachen, H J (1974). Anticoagulant therapy in patients with spinal cord injury. Paraplegia, 12, 176.
Harris, W H, Salzman, E W, Athanasoulis, C, Waltman, A C, Baum, S, Desanctis, R W, Potsaid, M S & Sise, H (1975). Comparison of 125I fibrinogen count scanning with phlebography for detection of venous thrombi after elective hip surgery. New Engl. J. Med. 292, 665.
Johnston, K W, Kakkar, V V, Spindler, J J, Corrigan, T P & Fossard, D P (1974). A simple method for detecting deep vein thrombosis. An improved electrical impedance technique. Am. J. Surg. 126, 349.
Kakkar, V V, Nicolaides, A N, Renney, J T G, Friend, J R & Clarke, M B (1970a). 125I-labelled fibrinogen test adapted for routine screening for deep-vein thrombosis. Lancet, 1, 540.
Kakkar, V V, Howe, C T, Nicolaides, A N, Renney, J T G & Clarke, M B (1970b). Deep vein thrombosis of the leg. Am. J. Surg. 120, 527.
Morris, G K, Henry, A P J & Preston, B J (1974). Prevention of deep-vein thrombosis by low-dose heparin in patients undergoing total hip replacement. Lancet, 2, 797.
Naso, F (1974). Pulmonary embolism in acute spinal cord injury. Arch. Phys. Med. Rehab. 55, 275.
Rabinov, K & Paulin, S (1972). Roentgen diagnosis of venous thrombosis in the leg. Arch. Surg. 104, 134.
Rossier, A & Brunner, U (1964). Zur initialen Behandlung der frischen traumatischen Querschnittsläsion. Schweiz med. Wschr. 94, 362.
Silver, J R & Moulton, A (1970). Prophylactic anticoagulant therapy against pulmonary emboli in acute paraplegia. Brit. Med. J. 2, 338.
Walsh, J J & Tribe, C (1965). Phlebo-thrombosis and pulmonary embolism in paraplegia. Paraplegia, 3, 209.
Warlow, C, Ogston, D & Douglas, A S (1972). Venous thrombosis following strokes. Lancet, 1, 1305.
Watson, N (1968). Venous thrombosis and pulmonary embolism in spinal cord injury. Paraplegia, 6, 113.
Wheeler, H B, O'Donnell, J A, Anderson, F A Jr. & Benedict, K Jr (1974). Occlusive impedance phlebography: A diagnostic procedure for venous thrombosis and pulmonary embolism. Progr. Cardiovasc. Dis, 17, 199.
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Todd, J., Frisbie, J., Rossier, A. et al. Deep venous thrombosis in acute spinal cord injury: a comparison of 125I fibrinogen leg scanning, impedance plethysmography and venography. Spinal Cord 14, 50–57 (1976). https://doi.org/10.1038/sc.1976.8
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DOI: https://doi.org/10.1038/sc.1976.8
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