Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Cost-effective diagnosis of deep vein thrombosis and pulmonary embolism
Autore:
Perrier, A; Bounameaux, H;
Indirizzi:
Hop Cantonal Geneva, Clin Med 1, CH-1211 Geneva, Switzerland Hop Cantonal Geneva Geneva Switzerland CH-1211 -1211 Geneva, Switzerland Hop Cantonal Geneva, Clin Med 2, CH-1211 Geneva, Switzerland Hop Cantonal Geneva Geneva Switzerland CH-1211 -1211 Geneva, Switzerland Hop Cantonal Geneva, Div Angiol & Haemostasis, Dept Internal Med, CH-1211 Geneva, Switzerland Hop Cantonal Geneva Geneva Switzerland CH-1211 -1211 Geneva, Switzerland
Titolo Testata:
THROMBOSIS AND HAEMOSTASIS
fascicolo: 1, volume: 86, anno: 2001,
pagine: 475 - 487
SICI:
0340-6245(200107)86:1<475:CDODVT>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
D-DIMER ASSAY; VENTILATION-PERFUSION SCINTIGRAPHY; RIGHT-VENTRICULAR DYSFUNCTION; PLASMA D-DIMER; SUSPECTED VENOUS THROMBOEMBOLISM; ACUTE COR-PULMONALE; WHOLE-BLOOD ASSAY; SIMPLIRED D-DIMER; SPIRAL CT; COMPRESSION ULTRASONOGRAPHY;
Keywords:
pulmonary embolism; deep vein thrombosis; diagnosis; cost-effectiveness analysis; outcome studies;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
134
Recensione:
Indirizzi per estratti:
Indirizzo: Perrier, A Hop Cantonal Geneva, Clin Med 1, 24 Rue Micheli du Crest, CH-1211 Geneva, Switzerland Hop Cantonal Geneva 24 Rue Micheli du Crest Geneva Switzerland CH-1211
Citazione:
A. Perrier e H. Bounameaux, "Cost-effective diagnosis of deep vein thrombosis and pulmonary embolism", THROMB HAEM, 86(1), 2001, pp. 475-487

Abstract

Suspected acute venous thromboembolism is a frequent and challenging clinical problem. Phlebography and pulmonary angiography are costly and invasiveand, hence, ill-suited for diagnosing a disease present in only 20% of patients in whom it is suspected. Novel noninvasive instruments, such as plasma D-dimer measurement, lower limb compression ultrasonography and helical CT scan are important breakthroughs in the management of patients with suspected venous thromboembolism. However, none of these instruments is ideal, and they must be combined in rational and cost-effective diagnostic algorithms including clinical assessment, which is increasingly standardized. Such strategies must be validated in management studies, in which patients without venous thromboembolism are not treated and followed up during 3 months. Suspected massive pulmonary embolism is a distinct clinical situation requiring a specific diagnostic approach, in which echocardiography plays a major role. This paper reviews the performance of clinical evaluation and diagnostic tests for venous thromboembolism, and recently validated diagnostic schemes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/01/21 alle ore 18:23:50