Management of suspected pulmonary embolism patients with low clinical and low V/Q probability

Thrombosis Research

Volumn 122, Issue 4, 2008, Pages 450-454

  Salaun, Pierre Yves ^a   Le Duc Pennec, Alexandra ^a   Le Gal, Grégoire ^a   Couturaud, Francis ^a   Guillo, Philippe ^a   Mottier, Dominique ^a   Bizais, Yves ^a   Leroyer, Christophe ^a  

^a BREST UNIVERSITY HOSPITAL   (France)

Author keywords

Clinical probability; Diagnosis; Pulmonary embolism; Radionuclide imaging; Venous thromboembolism

Indexed keywords

ANTICOAGULANT AGENT;

ADULT; ANTICOAGULANT THERAPY; ARTICLE; ATTITUDE; CLINICAL PRACTICE; COMPUTER ASSISTED TOMOGRAPHY; CONFIDENCE INTERVAL; DATA COLLECTION METHOD; DIAGNOSTIC IMAGING; ECHOGRAPHY; FOLLOW UP; FRANCE; HUMAN; LEG VEIN; LUNG ANGIOGRAPHY; LUNG EMBOLISM; LUNG SCINTISCANNING; LUNG VENTILATION PERFUSION RATIO; MAJOR CLINICAL STUDY; MEDICAL AUDIT; MEDICAL RECORD REVIEW; NUCLEAR MEDICINE; PHYSICIAN; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROBABILITY; RISK; SAFETY; TERTIARY HEALTH CARE; THROMBOEMBOLISM; VENOUS THROMBOEMBOLISM;

ALGORITHMS; ANGIOGRAPHY; ANTICOAGULANTS; FOLLOW-UP STUDIES; HUMANS; PERFUSION; PROBABILITY; PULMONARY EMBOLISM; RADIONUCLIDE IMAGING; RISK; THROMBOEMBOLISM; TREATMENT OUTCOME; ULTRASONOGRAPHY; VENTILATION-PERFUSION RATIO;

EID: 48049108512     PISSN: 00493848     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.thromres.2007.10.024     Document Type: Article

References (12)

1. Value of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). The PIOPED Investigators. JAMA 1990; 263(20):2753-2759.
2. Perrier A., Bounameaux H., Morabia A., De Moerloose P., Slosman D., Didier D., et al. Diagnosis of pulmonary embolism by a decision analysis-based strategy including clinical probability, D-dimer levels, and ultrasonography: a management study. Arch Intern Med 156 5 (1996) 531-536
3. Gleeson F.V., Turner S., and Scarsbrook A.F. Improving the diagnostic performance of lung scintigraphy in suspected pulmonary embolic disease. Clin Radiol 61 12 (2006) 1010-1015
4. Salaun P.Y., Couturaud F., Lacut K., Nonent M., Gut-Gobert C., Le Gal G., et al. Management of suspected venous thromboembolism: the impact of a multifaceted intervention. Int J Qual Health Care 17 5 (2005) 433-438
5. Oger E., Leroyer C., Bressollette L., Nonent M., Le Moigne E., Bizais Y., et al. Evaluation of a new, rapid, and quantitative D-Dimer test in patients with suspected pulmonary embolism. Am J Respir Crit Care Med 158 1 (1998) 65-70
6. Wells P.S., Ginsberg J.S., Anderson D.R., Kearon C., Gent M., Turpie A.G., et al. Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann Intern Med 129 12 (1998) 997-1005
7. Perrier A., Desmarais S., Miron M.J., De Moerloose P., Lepage R., Slosman D., et al. Non-invasive diagnosis of venous thromboembolism in outpatients. Lancet 353 9148 (1999) 190-195
8. Perrier A., Howarth N., Didier D., Loubeyre P., Unger P.F., De Moerloose P., et al. Performance of helical computed tomography in unselected outpatients with suspected pulmonary embolism. Ann Intern Med 135 2 (2001) 88-97
9. van Beek E.J., Brouwerst E.M., Song B., Stein P.D., and Oudkerk M. Clinical validity of a normal pulmonary angiogram in patients with suspected pulmonary embolism-a critical review. Clin Radiol 56 10 (2001) 838-842
10. British Thoracic Society guidelines for the management of suspected acute pulmonary embolism. Thorax 2003; 58(6):470-483.
11. Roy P.M., Colombet I., Durieux P., Chatellier G., Sors H., and Meyer G. Systematic review and meta-analysis of strategies for the diagnosis of suspected pulmonary embolism. BMJ 331 7511 (2005) 259
12. Roy P.M., Meyer G., Vielle B., Le Gall C., Verschuren F., Carpentier F., et al. Appropriateness of diagnostic management and outcomes of suspected pulmonary embolism. Ann Intern Med 144 3 (2006) 157-164