 |
 |

Ultrasound-Based Diagnostic Strategies for Deep Vein Thrombosis—Reply
 |
 |
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
 |
 |
In Reply: In response to Drs Quere and Righini, we believe that a second ultrasonography is warranted only if the first ultrasonography was limited to the proximal veins and the D-dimer test was abnormal. Our study demonstrated that a second ultrasonography can be safely spared in patients with a normal 2-point ultrasonography and a normal D-dimer at baseline. Our findings confirm data from 2 cohort studies investigating the role of D-dimer in the management of patients with suspected DVT.1-2 In both studies the prevalence of DVT at the second ultrasonography test was comparable with that reported in our trial (3.7%; 95% confidence interval [CI], 2.2%-5.6%1; and 5.7%; 95% CI, 1.9-12.8%,2 respectively). The comparison with the study by Cogo et al3 may not be applicable because in that study all patients with a normal baseline ultrasonography underwent repeat testing at 1 week.
We agree that the treatment of distal thrombosis . . . [Full Text of this Article]
Enrico Bernardi, MD, PhD
enrico.bernardi@ulss7.it Department of Emergency and Accident Medicine Civic Hospital Conegliano, Italy
Giuseppe Camporese, MD
Angiology Unit
Franco Noventa, MD
Group of Clinical Epidemiology University Hospital Padua, Italy
CiteULike Connotea Del.icio.us Digg Reddit Technorati Twitter
What's this?
RELATED ARTICLE
Serial 2-Point Ultrasonography Plus D-Dimer vs Whole-Leg Color-Coded Doppler Ultrasonography for Diagnosing Suspected Symptomatic Deep Vein Thrombosis: A Randomized Controlled Trial
Enrico Bernardi, Giuseppe Camporese, Harry R. Büller, Sergio Siragusa, Davide Imberti, Arrigo Berchio, Angelo Ghirarduzzi, Fabio Verlato, Raffaela Anastasio, Carolina Prati, Andrea Piccioli, Raffaele Pesavento, Carlo Bova, Patrizia Maltempi, Nello Zanatta, Alberto Cogo, Roberto Cappelli, Eugenio Bucherini, Stefano Cuppini, Franco Noventa, Paolo Prandoni, and for the Erasmus Study Group
JAMA. 2008;300(14):1653-1659.
ABSTRACT
| FULL TEXT
RELATED LETTERS
Ultrasound-Based Diagnostic Strategies for Deep Vein Thrombosis
Isabelle Quere and Marc Righini
JAMA. 2009;301(9):933.
EXTRACT
| FULL TEXT
Ultrasound-Based Diagnostic Strategies for Deep Vein Thrombosis
Frederikus A. Klok, Melanie Tan, and Menno V. Huisman
JAMA. 2009;301(9):933-934.
EXTRACT
| FULL TEXT
|