Should lung scan be abandoned for pulmonary embolism diagnosis in the age of multislice spiral CT? Yes

Beek, Edwin Jacques Rudolph van

doi:10.1007/s11739-009-0252-5

Cited by 1 publication

(1 citation statement)

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“…There is an ongoing clinical debate regarding what role ventilation/perfusion scanning should play in the diagnosis of PE. 4 , 5 Ventilation/perfusion scans have a high sensitivity and specificity for PE and can be performed in patents with kidney dysfunction. 6 , 7 However, clinicians are becoming less familiar with interpreting results since CTA has become so dominant.…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary approach to the management of pulmonary embolism patients: the pulmonary embolism response team (PERT)

Root¹,

Dudzinski²,

Zakhary³

et al. 2018

JMDH

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Pulmonary embolism (PE) is a potentially fatal disease with a broad range of treatment options that spans multiple specialties. The rapid evolution and expansion of novel therapies to treat PE make it a disease process that is well suited to a multidisciplinary approach. In order to facilitate a rapid, robust response to the diagnosis of PE, some hospitals have established multidisciplinary pulmonary embolism response teams (PERTs). The PERT model is based on existing multidisciplinary teams such as heart teams and rapid response teams. A PERT is composed of clinicians from the range of specialties involved in the treatment of PE, including pulmonology critical care, interventional radiology, cardiology, and cardiothoracic surgery among others. A PERT is a 24/7 consult service that is able to provide expert advice on the initial management of PE patients and convene in real time to develop a consensus treatment plan specifically tailored to the needs of a particular patient and consistent with the capabilities of the institution. In this review, we discuss the rationale for establishing a PERT and its potential benefits. We discuss considerations in forming a PERT and present case studies of several PERTs currently in operation at different institutions. We also discuss potential difficulties in forming a PERT and review evidence that has been generated by some of the PERTs that have been in operation the longest.

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Section: Introductionmentioning

confidence: 99%