American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembolism.
Wendy LimGrégoire Le GalShannon M BatesMarc RighiniLinda B HaramatiEddy LangJeffrey A KlineSonja ChasteenMarcia SnyderPayal PatelMeha BhattParth PatelCody BraunHousne BegumWojtek WierciochHolger J SchünemannReem A MustafaPublished in: Blood advances (2019)
For patients at low (unlikely) VTE risk, using D-dimer as the initial test reduces the need for diagnostic imaging. For patients at high (likely) VTE risk, imaging is warranted. For PE diagnosis, ventilation-perfusion scanning and computed tomography pulmonary angiography are the most validated tests, whereas lower or upper extremity DVT diagnosis uses ultrasonography. Research is needed on new diagnostic modalities and to validate clinical decision rules for patients with suspected recurrent VTE.
Keyphrases
- venous thromboembolism
- direct oral anticoagulants
- computed tomography
- high resolution
- end stage renal disease
- contrast enhanced
- magnetic resonance imaging
- newly diagnosed
- ejection fraction
- chronic kidney disease
- pulmonary hypertension
- prognostic factors
- positron emission tomography
- peritoneal dialysis
- intensive care unit
- photodynamic therapy
- atrial fibrillation
- acute respiratory distress syndrome
- image quality