Controversies in diagnosis of pulmonary embolism. - Université de Bretagne Occidentale Access content directly
Journal Articles Clinical and Applied Thrombosis/Hemostasis Year : 2011

Controversies in diagnosis of pulmonary embolism.

H Dirk Sostman
  • Function : Author
James E Dalen
  • Function : Author
Dale L Bailey
  • Function : Author
Marika Bajc
  • Function : Author
Lawrence R Goodman
  • Function : Author
Alexander Gottschalk
  • Function : Author
Fadi Matta
  • Function : Author
Massimo Pistolesi
  • Function : Author
Victor F Tapson
  • Function : Author
John G Weg
  • Function : Author
Pamela K Woodard
  • Function : Author

Abstract

The approach to the diagnosis of acute pulmonary embolism (PE) is under constant revision with advances in technology, noninvasive approaches, and increasing awareness of the risks of ionizing radiation. Optimal approaches in some categories of patients are controversial. Data are insufficient for evidence-based recommendations. Therefore, this survey of investigators in the field was undertaken. Even among experts there were marked differences of opinion regarding the approach to the diagnosis of acute PE. Although CT pulmonary angiography was usually the imaging test of choice, the respondents were keenly aware of the dangers of ionizing radiation. In view of advances in scintigraphic diagnosis since the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) trial, ventilation/perfusion (V/Q) lung scans or perfusion scans alone and single photon emission computed tomography (SPECT) V/Q lung scans are often recommended. The choice depends on the patient's age, gender, and complexity of the findings on the plain chest radiograph.

Dates and versions

hal-00931881 , version 1 (16-01-2014)

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Paul D Stein, H Dirk Sostman, James E Dalen, Dale L Bailey, Marika Bajc, et al.. Controversies in diagnosis of pulmonary embolism.. Clinical and Applied Thrombosis/Hemostasis, 2011, 17 (2), pp.140-9. ⟨10.1177/1076029610389027⟩. ⟨hal-00931881⟩
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