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Hamostaseologie 1997; 17(01): 1-4
DOI: 10.1055/s-0038-1660007
Pulmonalembolie
Schattauer GmbH

Pulmonary Embolism

Clinical Features and Diagnostic Strategies
K. M. Moser
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Publication History

Publication Date:
27 June 2018 (online)

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Summary

Our diagnostic approach to the embolic suspect involves a high index of suspicion based on the clinical context. Next, study of the lower extremity veins; if such a study (IPG, Duplex, venogram) discloses proximal DVT, the patient needs treatment and a search for embolism may or may not be required. If it is, perfusion and ventilation scans are performed next. If this test is non-diagnostic, pulmonary angiography is the final step. As noted, other technics are under investigation. It will take time to assess whether their promise is fulfilled since it is well-known that “early reports” are usually the most positive and may not translate into clinical, non-investigative use.

 

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