Opinions regarding the diagnosis and management of venous thromboembolic disease

被引:77
作者
Stein, PD [1 ]
Goldhaber, SZ [1 ]
Gottschalk, A [1 ]
Hull, RD [1 ]
Hyers, TM [1 ]
Leeper, KV [1 ]
Moser, KM [1 ]
Pineo, GF [1 ]
Raskob, G [1 ]
Saltzman, HA [1 ]
Sostman, D [1 ]
Tapson, VF [1 ]
Weg, JG [1 ]
机构
[1] Cardiac Wellness Ctr, Detroit, MI 48202 USA
关键词
computed tomography; D-dimer; deep venous thrombosis; magnetic resonance imaging; pulmonary angiography; pulmonary embolism; ventilation perfusion scintigraphy;
D O I
10.1378/chest.113.2.499
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Purpose: The purpose of this consensus report was to address clinically relevant questions related to the diagnosis and management of acute pulmonary embolism and deep venous thrombosis. Background: Physicians are often forced to make decisions about the diagnosis and management of pulmonary thromboembolism even though there are only limited data to guide them. Methods: We assessed the relevant literature regarding clinical trials according to levels of evidence, The data on which the opinions of the committee were made were sparse. The consensus opinions, therefore, were often based on experience or intuition, rather than firm data. Results: Consensus opinions were given in regard to eight clinically relevant questions. Conclusion: We hope that the consensus opinions of this committee will assist others in making clinical decisions while we all await prospective investigations.
引用
收藏
页码:499 / 504
页数:8
相关论文
共 65 条
[1]   SPIRAL-COMPUTED TOMOGRAPHY VERSUS PULMONARY ANGIOGRAPHY IN THE DIAGNOSIS OF ACUTE MASSIVE PULMONARY-EMBOLISM [J].
BLUM, AG ;
DELFAU, F ;
GRIGNON, B ;
BEURRIER, D ;
CHABOT, F ;
CLAUDON, M ;
DANCHIN, N ;
REGENT, D .
AMERICAN JOURNAL OF CARDIOLOGY, 1994, 74 (01) :96-98
[2]   SEGMENTAL ARTERIOGRAPHY IN PULMONARY EMBOLISM [J].
BOOKSTEIN, JJ .
RADIOLOGY, 1969, 93 (05) :1007-+
[3]   MEASUREMENT OF D-DIMER IN PLASMA AS DIAGNOSTIC-AID IN SUSPECTED PULMONARY-EMBOLISM [J].
BOUNAMEAUX, H ;
CIRAFICI, P ;
DEMOERLOOSE, P ;
SCHNEIDER, PA ;
SLOSMAN, D ;
REBER, G ;
UNGER, PF .
LANCET, 1991, 337 (8735) :196-200
[4]   MEASUREMENT OF PLASMA D-DIMER FOR DIAGNOSIS OF DEEP VENOUS THROMBOSIS [J].
BOUNAMEAUX, H ;
SCHNEIDER, PA ;
REBER, G ;
DEMOERLOOSE, P ;
KRAHENBUHL, B .
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1989, 91 (01) :82-85
[5]   Role of D-dimers in the exclusion of pulmonary embolism [J].
Bounameaux, H ;
Perrier, A .
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE, 1996, 17 (01) :31-37
[6]  
BOUNAMEAUX H, 1988, LANCET, V2, P628
[7]  
BOUNAMEAUX H, 1990, BLOOD COAGUL FIBRIN, V1, P557
[8]   FATAL PULMONARY EMBOLI - A STUDY OF 130 AUTOPSY-PROVEN FATAL EMBOLI [J].
BYRNE, JJ ;
ONEIL, EE .
AMERICAN JOURNAL OF SURGERY, 1952, 83 (01) :47-49
[9]  
Calligaro K D, 1991, Ann Vasc Surg, V5, P186, DOI 10.1007/BF02016754
[10]  
COHEN JR, 1992, CANCER, V70, P1993, DOI 10.1002/1097-0142(19921001)70:7<1993::AID-CNCR2820700731>3.0.CO