Abstract:
:Sixty patients admitted with a clinical diagnosis of pulmonary embolism underwent a prospective analysis of the value of lung ventilation/perfusion scintigraphy and lower limb colour flow venous Doppler. Twenty-two per cent of scintigrams gave a high probability of pulmonary embolus (PE) and 45% a low probability/normal. The remainder were classed as indeterminate scintigrams (33%) and of these, 55% showed leg thrombi on the ultrasound scan. These patients were therefore treated by anticoagulation. A small number of the low probability scintigrams also proved to have lower limb thrombi by ultrasound. As a result of these two investigations just over half of these patients with a clinical diagnosis of PE were anticoagulated (31 out of 60). In 62% of these the ultrasound suggested thrombi confined to the calf as a source of PE.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Bradley MJ,Alexander Ldoi
10.1016/s0009-9260(05)83476-2subject
Has Abstractpub_date
1995-04-01 00:00:00pages
232-4issue
4eissn
0009-9260issn
1365-229Xjournal_volume
50pub_type
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