A new scoring system for the detailed description of the distribution and thrombotic burden in deep leg vein thrombosis

Angiology. 1999 Mar;50(3):179-87. doi: 10.1177/000331979905000301.


The scoring system most commonly used to date to describe the thrombotic burden of deep vein thrombosis (DVT) excludes several deep vein segments and is thereby of limited use in research. The aim of this prospective, comparative study was to develop a new scoring and distribution system that would include all major deep veins of the leg and pelvis. In total, 247 consecutive patients were included, of whom 105 had a positive phlebography. The positive phlebographies were registered in the new system and the result was compared with that obtained by the Marder system. In 72% (76/105) of the patients the DVT distribution was not completely described and the thrombotic burden was significantly underestimated by the Marder system. Of these, 12% (13/105) were not scored at all, thus representing false-negative investigations. It was possible to score all DVTs and important vein segments of these patients with the new system. The scoring system previously used excludes several deep vein segments. A description of the important vein segments, where DVT is shown to originate and propagate, is mandatory in a scoring system designed for the purpose of research of DVT and later detected deep vein insufficiency. The new system meets this demand.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Contrast Media
  • False Negative Reactions
  • Female
  • Femoral Vein / diagnostic imaging
  • Humans
  • Iliac Vein / diagnostic imaging
  • Iohexol
  • Ioxaglic Acid
  • Leg / blood supply*
  • Male
  • Middle Aged
  • Muscle, Skeletal / blood supply
  • Pelvis / blood supply
  • Phlebography / methods
  • Popliteal Vein / diagnostic imaging
  • Prospective Studies
  • Veins / pathology
  • Vena Cava, Inferior / diagnostic imaging
  • Venous Insufficiency / classification
  • Venous Insufficiency / diagnostic imaging
  • Venous Thrombosis / classification
  • Venous Thrombosis / diagnostic imaging*


  • Contrast Media
  • Iohexol
  • Ioxaglic Acid