Document Detail

Current trends on diagnostic work up of pulmonary thromboembolism.
MedLine Citation:
PMID:  547369     Owner:  NLM     Status:  MEDLINE    
This report describes a six month prospective double blind study of 30 consecutive patients who were evaluated at Jackson Memorial Medical Center for pulmonary emboli. In this series, 77 per cent of the patients with lung scans interpreted as high probability for pulmonary emboli had angiographic confirmation of emboli. In 90 per cent of the patients with lung scans interpreted as low probability for pulmonary emboli, angiography confirmed the absence of pulmonary emboli. Five patients had radionuclide scans that were interpreted as nondiagnostic. Although pulmonary arteriography remains the gold standard for the diagnosis of pulmonary emboli we feel it should not be used in the low probability category because of the accuracy of the ventilation perfusion scans. It should be used in the indeterminant group and in the high probability category when anticoagulation therapy is contraindicated; prior to embolectomy or Mobin-Uddin umbrella insertion.
M I Alonso; G Méndez; H A Koolpe; E Russell
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Publication Detail:
Type:  Case Reports; Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Revista interamericana de radiología     Volume:  4     ISSN:  0034-9704     ISO Abbreviation:  Rev Interam Radiol     Publication Date:  1979 Jul 
Date Detail:
Created Date:  1980-08-25     Completed Date:  1980-08-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7708012     Medline TA:  Rev Interam Radiol     Country:  PERU    
Other Details:
Languages:  eng     Pagination:  115-22     Citation Subset:  IM    
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MeSH Terms
Angiography / trends*
Double-Blind Method
Middle Aged
Pulmonary Embolism / radiography,  radionuclide imaging*
Radionuclide Imaging / trends*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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