GERBAIL T. KRISHNAMURTHY, M.D.; JAMES F. MORRIS, M.D.; VISHNU V. R. BOBBA, M.D.
To the editor: The prospective study of Hull and associates (1) evaluated traditional "gold standards" of contrast venography and pulmonary angiography in patients with abnormal perfusion lung scans and clinically suspected pulmonary embolism. The authors would do contrast venography after obtaining an abnormal perfusion study. We suggest an alternative to their approach. At this and many U.S. medical centers, an initial approach to suspected deep venous thrombosis or pulmonary embolism, or both, includes bilateral radionuclide venography, thromboscintigraphy, and perfusion and ventilation lung imaging. The first three tests are done by injecting 99mTc macroaggregated albumin into the dorsal pedal veins (2).
KRISHNAMURTHY GT, MORRIS JF, BOBBA VVR. Pulmonary Embolism and Deep Venous Thrombosis. Ann Intern Med. ;99:412–413. doi: 10.7326/0003-4819-99-3-412_3
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Published: Ann Intern Med. 1983;99(3):412-413.
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