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A limited ultrasound (US) confined to the popliteal and femoral veins is usually performed to detect deep vein thrombosis (DVT) in patients with clinically suspected acute pulmonary embolism (PE). Our objective was to assess the diagnostic accuracy of complete lower limb US examining both the proximal and distal veins in this setting. In this prospective study, 210 consecutive patients were included. Complete US was performed by independent operators and compared blindly with a reference strategy combining clinical probability, ventilation perfusion scan and pulmonary angiography to a three-month clinical follow-up. Simultaneously, VIDAS D-dimer (DD) assay and helical computed tomography (HCT) of the lungs were assessed independently and blindly. PE was present in 74 patients (35

作者:Antoine, Elias;Daniel, Colombier;Gérard, Victor;Marie, Elias;Catherine, Arnaud;Henri, Juchet;Jean-Louis, Ducassé;Alain, Didier;Cyrille, Colin;Hervé, Rousseau;Fran?oise, Nguyen;Francis, Joffre

来源:Thrombosis and haemostasis 2004 年 91卷 1期

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作者:
Antoine, Elias;Daniel, Colombier;Gérard, Victor;Marie, Elias;Catherine, Arnaud;Henri, Juchet;Jean-Louis, Ducassé;Alain, Didier;Cyrille, Colin;Hervé, Rousseau;Fran?oise, Nguyen;Francis, Joffre
来源:
Thrombosis and haemostasis 2004 年 91卷 1期
A limited ultrasound (US) confined to the popliteal and femoral veins is usually performed to detect deep vein thrombosis (DVT) in patients with clinically suspected acute pulmonary embolism (PE). Our objective was to assess the diagnostic accuracy of complete lower limb US examining both the proximal and distal veins in this setting. In this prospective study, 210 consecutive patients were included. Complete US was performed by independent operators and compared blindly with a reference strategy combining clinical probability, ventilation perfusion scan and pulmonary angiography to a three-month clinical follow-up. Simultaneously, VIDAS D-dimer (DD) assay and helical computed tomography (HCT) of the lungs were assessed independently and blindly. PE was present in 74 patients (35