I know that this is after your meeting, but the battle surely goes on. I
just read this recently in that Yearbook of Vascular Surgery 2000 (p. 456)
that I recommended here recently, from a study by van Rossum, et al., in
British Journal of Radiology:
Results of a series of 149 patients: DVT prevalence was 12% in patients with
suspected PE, and 32% in patients with proven PE. A meta-analysis of
literature yielded DVT in patients with proven PE ranging from 10% to 93%.
"For all reports, the pooled estimate of the prevalence of DVT among
patients with suspected PE was 18%."
Dr. Porter's comment: "I fail to see how either a positive or a negative
result from the vascular laboratory will or should alter patient treatment.
Certainly, a negative result most assuredly does not rule out PE, and a
positive result does not rule in PE. I believe that, in general, this is an
inappropriate use of the vascular laboratory."
Obviously, if there are leg symptoms or big risk factors (like cancer), I
assume it would make more sense to have us take a look.
> From: Amy Tisch
> Reply To: UVM Flownet
> Sent: Tuesday, January 30, 2001 8:19 AM
> To: [log in to unmask]
> Subject: PE/DVT
> Does anyone have any published articles on the incidence of DVT in
> patients with
> NO lower extremity symptoms who are being worked up for R/O PE? ...or
> gathered in you labs? THANK YOU! Please respond at your earliest
> convenience -
> we are gathering info for a meeting tomorrow at 3PM!!!Thanks, again!