Teresa L. Carman, MD Section of Vascular Medicine, Department of Cardiovascular Medicine, The Cleveland Clinic
Steven R. Deitcher, MD Director, Clinical Thrombosis and Vascular Research, Section of Vascular Medicine, Department of Cardiovascular Medicine, and Head, Section of Hematology and Coagulation Medicine, Department of Hematology and Medical Oncology, The Cleveland Clinic
Address: Steven R. Deitcher, MD, Section of Vascular Medicine, Department of Cardiovascular Medicine, S60, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195; e-mail deitchs@ccf.org
ABSTRACTNo single imaging study or blood test is 100% sensitive and specific for pulmonary embolism. A combination of pretest clinical probability assessment, noninvasive pulmonary imaging (V/Q scanning or spiral CT), and D-dimer testing seems prudent before pursuing pulmonary angiography.
