I am in the middle of a "discussion" with an interventional
radiologist concerning venography. The discussion centers around a
patient who had a non-occluding DVT in the external iliac vein, a
short distance above the sapheno-femoral junction. This DVT was
clearly demonstrated on duplex ultrasound but failed to show up on a
venogram. I was told that multiple views were used to look for this
clot but nothing was revealed. Does anyone have any info on false
negative venograms? I plan to look through the literature but I
thought I would check with folks on the flownet first. Two days after
the initial duplex, an additional scan demonstrated thrombus at the
sapheno-femoral junction that was confirmed by a Radiologist. At this
point the patient received a filter. Prior to this scan, no therapy
was performed since the gold standard venogram was felt to be correct
and the duplex incorrect.
Any help would be appreciated! Thanks and happy holidays!
Ann Marie Kupinski