Point-of-care ultrasound in the diagnosis of pulmonary embolism.

IF 3.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Critical Ultrasound Journal Pub Date : 2015-05-27 eCollection Date: 2015-01-01 DOI:10.1186/s13089-015-0025-5
Alessandro Squizzato, Luca Galli, Victor E A Gerdes
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引用次数: 41

Abstract

The best diagnostic strategy to confirm or exclude pulmonary embolism (PE) suspicion needs an appropriate combination of clinical assessment, plasma D-dimer measurement, and computed tomographic pulmonary angiography (CTPA). CTPA should be used with caution in some patient groups, such as patients with known allergy to contrast media, those with severe renal insufficiency, and pregnant women, and could be not immediately available in case of unstable patients. In the emergency setting, alternative diagnostic strategies should be implemented to overcome CTPA limitations. Ultrasonography is certainly a valuable alternative diagnostic tool. In addition to echocardiography and lower limb compressive venous ultrasonography, lung ultrasound (US) may play an important role in selected patients' subgroups. Recent data on the diagnostic performance of a triple point-of-care US (lung, heart, and leg vein US) are discussed in the present paper, and pros and cons of triple point-of-care US are compared with those of standard diagnostic approaches.

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即时超声在肺栓塞诊断中的应用。
确认或排除肺栓塞(PE)嫌疑的最佳诊断策略需要临床评估、血浆d -二聚体测量和计算机断层肺血管造影(CTPA)的适当结合。CTPA在某些患者群体中应谨慎使用,如已知对造影剂过敏的患者、严重肾功能不全的患者和孕妇,对于不稳定的患者不能立即使用。在紧急情况下,应实施替代诊断策略以克服CTPA的局限性。超声检查无疑是一种有价值的替代诊断工具。除了超声心动图和下肢压缩静脉超声外,肺超声(US)可能在选定的患者亚组中发挥重要作用。最近的数据对诊断性能的三重点护理美国(肺,心脏和腿静脉美国)进行了讨论,并与标准诊断方法的优点和缺点进行了比较。
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来源期刊
Critical Ultrasound Journal
Critical Ultrasound Journal RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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