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September 1, 1971British Journal of Radiology

The origin of deep vein thrombosis: a venographic study

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Authors

ANAndrew NicolaidesVKV V KakkarEFE S Field

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Overview

Diagnostic study reveals most deep vein thrombi originate in calf soleal veins among suspected patients, indicating clinical diagnosis requires venographic confirmation.

Key Points

  • To identify the anatomical site of origin for lower-limb deep vein thrombosis using a comprehensive venographic technique.
  • Assessed deep and soleal veins using a specialized venographic technique in 127 consecutive medical and surgical patients.
  • Evaluated 97 patients with clinically suspected deep vein thrombosis to establish diagnostic accuracy and anatomical clot distribution.
  • Venography confirmed thrombosis in 51 of 97 clinically suspected patients (52%), whereas 46 had entirely normal deep veins.
  • Isolated soleal vein thrombosis occurred in 9 patients, while only 1 patient presented with proximal thrombosis and normal soleal veins; all other proximal cases had continuous soleal involvement.

Cite This Study

Nicolaides et al. (1971) studied this question.

synapsesocial.com/papers/6a183d8c1723722a886f6f71https://doi.org/10.1259/0007-1285-44-525-653
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Pulmonary Embolism in Patients with Isolated Soleal Vein Thrombosis1998 · 120 citations
  2. 2The origin of thrombi in the deep veins of the lower limb: A venographic study1978 · 60 citations
  3. 3Significance of the Soleal Vein and its Drainage Veins in Cases of Massive Pulmonary Thromboembolism2008 · 39 citations
  4. 4Pattern and Distribution of Thrombi in Acute Venous Thrombosis1992 · 98 citations
  5. 5Deep venous thrombosis of the leg: US findings.1987 · 181 citations