Diagnostik der venösen Thrombembolie - Ist der Goldstandard 'Phlebografie' bald überholt?
| Autor: | Reinhardt Sternitzky, Sandra Hochauf, Jan Beyer, Kai Halbritter, Sebastian Schellong |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Deep vein Venography General Medicine Gold standard (test) medicine.disease Thrombosis Pulmonary embolism medicine.anatomical_structure Angiography Medicine Radiology business Venous thromboembolism Lower limbs venous ultrasonography |
| Zdroj: | Der Klinikarzt. 36:447-452 |
| ISSN: | 1439-3859 0341-2350 |
| DOI: | 10.1055/s-2007-986465 |
| Popis: | Diagnostic strategies to diagnose deep vein thrombosis (DVT) and pulmonary embolism (PE) have changed significantly over the last 15 years. Whereas venography still is the gold standard for detecting DVT, the introduction of DVT-scores, d-dimer-testing and venous ultrasound made it replaceable in most cases for detecting venous thromboembolisms. The same is true for the diagnostic approach to pulmonary embolism: the combination of d-dimer-testing and venous ultrasound followed by szintigraphic or computertomographic lung scan almost replaced pulmonal angiography. This review focuses on different diagnostic strategies for clinicians in hospitals using practical approaches. Combination of these procedures in a graduated scheme - as postulated in guidelines - enables clinicians to diagnose deep vein thrombosis and pulmonary embolism fast and on a firm basis. Therefore the use of venography is not mandatory in most cases. |
| Databáze: | OpenAIRE |
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