Article information
Resumen
Introducción
Los síntomas y signos clínicos de la trombosis venosa profunda recurrente (TVPR) pueden ser muy anodinos, confundiéndose con la sintomatología producida por un síndrome postrombótico. Los errores diagnósticos tienen gran trascendencia, ya que los falsos positivos suponen realizar un tratamiento posiblemente indefinido con anticoagulantes, y los falsos negativos exponen al paciente a nuevos episodios de TVPR y/o a un embolismo pulmonar.
DesarrolloEn esta revisión se discutirán los mecanismos fisiopatológicos de la TVPR y se realizará una valoración de los diferentes tests diagnósticos y su fiabilidad.
Palabras clave:
Doppler
Flebografía
Síndrome postflebítico
Tromboflebitis
Trombosis venosa
Ultrasonografía
Summary
Introduction
The clinical signs and symptoms of recurring deep vein thrombosis (RDVT) can be very anodyne, and may easily be confused with the symptomatology produced by a post-thrombotic syndrome. Diagnostic errors have very important effects because false positives mean carrying out a possibly indefinite treatment with anticoagulant drugs and false negatives expose the patient to new episodes of RDVT and/or a pulmonary embolism.
DevelopmentIn this review the pathophysiological mechanisms of RDVT will be discussed and we will also evaluate the different diagnostic tests and their reliability.
Key words:
Doppler
Phlebography
Postphlebitic syndrome
Thrombophlebitis
Ultrasonography
Venous thrombosis
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