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Strategies to diagnosis and screening of deep venous thrombosis and pulmonary embolism.
Neth J Surg. 1983 Sep; 35(4):121-8.NJ

Abstract

The clinical diagnosis of venous thrombosis or pulmonary embolism is unreliable and must be confirmed by objective methods. The available objective diagnostic tests which have been evaluated for deep vein thrombosis and shown to be of value are venography, IPG, and (125I)-fibrinogen leg scanning. All these methods have certain disadvantages, but the potential advantages of accurate diagnosis using a combination of non-invasive tests as an alternative to venography are considerable. This approach is cost-effective, because it avoids unnecessary hospital admissions and reserves anticoagulant treatment for those in whom diagnosis of deep venous thrombosis is confirmed. Non-invasive techniques can also be used to screen high risk surgical patients for whom no inexpensive, effective, safe form of prophylaxis is available. The correct diagnostic approach in suspected pulmonary embolism remains to be established. The initial screening by perfusion lung scan with ventilation studies, followed by either the demonstration of pulmonary emboli with angiography, or the demonstration of peripheral deep venous thrombosis, is considered to be the safest approach.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

6633923

Citation

Büller, H R., et al. "Strategies to Diagnosis and Screening of Deep Venous Thrombosis and Pulmonary Embolism." The Netherlands Journal of Surgery, vol. 35, no. 4, 1983, pp. 121-8.
Büller HR, Ockelford PA, Hull RD. Strategies to diagnosis and screening of deep venous thrombosis and pulmonary embolism. Neth J Surg. 1983;35(4):121-8.
Büller, H. R., Ockelford, P. A., & Hull, R. D. (1983). Strategies to diagnosis and screening of deep venous thrombosis and pulmonary embolism. The Netherlands Journal of Surgery, 35(4), 121-8.
Büller HR, Ockelford PA, Hull RD. Strategies to Diagnosis and Screening of Deep Venous Thrombosis and Pulmonary Embolism. Neth J Surg. 1983;35(4):121-8. PubMed PMID: 6633923.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Strategies to diagnosis and screening of deep venous thrombosis and pulmonary embolism. AU - Büller,H R, AU - Ockelford,P A, AU - Hull,R D, PY - 1983/9/1/pubmed PY - 1983/9/1/medline PY - 1983/9/1/entrez SP - 121 EP - 8 JF - The Netherlands journal of surgery JO - Neth J Surg VL - 35 IS - 4 N2 - The clinical diagnosis of venous thrombosis or pulmonary embolism is unreliable and must be confirmed by objective methods. The available objective diagnostic tests which have been evaluated for deep vein thrombosis and shown to be of value are venography, IPG, and (125I)-fibrinogen leg scanning. All these methods have certain disadvantages, but the potential advantages of accurate diagnosis using a combination of non-invasive tests as an alternative to venography are considerable. This approach is cost-effective, because it avoids unnecessary hospital admissions and reserves anticoagulant treatment for those in whom diagnosis of deep venous thrombosis is confirmed. Non-invasive techniques can also be used to screen high risk surgical patients for whom no inexpensive, effective, safe form of prophylaxis is available. The correct diagnostic approach in suspected pulmonary embolism remains to be established. The initial screening by perfusion lung scan with ventilation studies, followed by either the demonstration of pulmonary emboli with angiography, or the demonstration of peripheral deep venous thrombosis, is considered to be the safest approach. SN - 0167-2487 UR - https://www.unboundmedicine.com/medline/citation/6633923/Strategies_to_diagnosis_and_screening_of_deep_venous_thrombosis_and_pulmonary_embolism_ L2 - http://www.diseaseinfosearch.org/result/7087 DB - PRIME DP - Unbound Medicine ER -