D-dimer as the Sole Screening Test for Acute Aortic Dissection: A Review of the Literature - 21/08/11

Doi : 10.1016/j.annemergmed.2007.12.026

Alexander Sutherland, MD ^⁎ , Jude Escano, DO, Troy P. Coon, MD
31st Combat Support Hospital, Baghdad, Iraq

Address for correspondence: Alex Sutherland, MD, 3426 Bentwood Place, Highlands Ranch, CO 80126; 303-997-4411

Le texte complet de cet article est disponible en PDF.

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Weber et al^{Weber T., Hogler S., Auer J., et al. D-dimer in acute aortic dissection Chest 2003 ; 123 : 1375-1378}

Perez et al^{Perez A., Abbet P., Drescher M.J. D-dimers in the emergency department evaluation of aortic dissection Acad Emerg Med 2004 ; 11 : 397-400}

Eggebrecht et al^{Eggebrecht H., Naber C.K., Bruch C., et al. Value of plasma fibrin D-dimers for detection of acute aortic dissection J Am Coll Cardiol 2004 ; 44 : 804-809}

Hazui et al^{Hazui H., Fukumoto H., Negoro N., et al. Simple and useful tests for discriminating between acute aortic dissection of the ascending aorta and acute myocardial infarction in the emergency setting Circ J 2005 ; 69 : 677-682}

Akutsu et al^{Akutsu K., Sato N., Yamamoto T., et al. A rapid bedside D-dimer assay (cardiac D-dimer) for screening of clinically suspected acute aortic dissection Circ J 2005 ; 69 : 397-403}

Hazui et al^{Hazui H., Nishimoto M., Hoshiga M., et al. Young adult patients with short dissection length and thrombosed false lumen without ulcer-like projections are liable to have false-negative results of D-dimer testing for acute aortic dissection based on a study of 113 cases Circ J 2006 ; 70 : 1598-1601}

Ohlmann et al^{Ohlmann P., Faure A., Morel O., et al. Diagnostic and prognostic value of circulating D-Dimers in patients with acute aortic dissection Crit Care Med 2006 ; 34 : 1358-1364}

Wiegand et al^{Wiegand J., Koller M., Bingisser R. Does a negative D-dimer test rule out aortic dissection? Swiss Med Wkly 2007 ; 137 : 462}

Sbarouni et al^{Sbarouni E., Georgiadou P., Marathias A., et al. D-dimer and BNP levels in acute aortic dissection Int J Cardiol 2007 ; 122 : 170-172}

Sodeck et al^{Sodeck G., Domanovits H., Schillinger M. D-dimer in ruling out acute aortic dissection: a systematic review and prospective cohort study Eur Heart J 2007 ; [Epub ahead of print]. DOI:10.1093/eurheartj/ehm484.}

The Bottom Line

	This article expresses the opinions of the authors and does not reflect the opinions of the Department of Defense.
	From the Editor—Emergency physicians must often make decisions about patient management without clear-cut data of sufficient quality to support clinical guidelines or evidence-based reviews. Topics in the Best Available Evidence section must be relevant to emergency physicians, are formally peer reviewed, and must have a sufficient literature base to draw a reasonable conclusion but not such a large literature base that a traditional “evidence-based” review, meta-analysis, or systematic review can be performed.
	Supervising editor: Judd E. Hollander, MD
	Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.
	Publication date: Available online March 19, 2008.
	Reprints not available from the authors.

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Vol 52 - N° 4

P. 339-343 - octobre 2008 Retour au numéro

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D-dimer as the Sole Screening Test for Acute Aortic Dissection: A Review of the Literature - 21/08/11

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