[Venous thromboembolic disease: questions and controversies. Teaching seminary in vascular medicine (November22, 2007)].
Rapid advances has been made in the diagnosis and treatment of venous thromboembolic disease, but many questions or controversies remain. In this review, we present a progress report on various concepts still open to discussion. New epidemiologic data from the French epidemiology study, Optimev, are presented. Widespread use of multidetector CT scan for the diagnostic work-up of pulmonary embolism has had considerable impact on clinical practices. We discuss indications and use of the various imaging methods. The review ends with a report on constitutional or acquired thrombophilia, particularly cancer-associated venous thromboembolic disease, which remains a daily preoccupation with various approaches still under debate. This review was the topic of the French vascular medicine teaching seminary in November2007.
Sevestre
M-A
MA
Service de médecine vasculaire, CHU d'Amiens, France.
Roy
P-M
PM
Morange
P-E
PE
Quéré
I
I
Pernod
G
G
D018618:Echocardiography, Doppler, Color; D005602:France / Q000453:epidemiology; D006801:Humans; D012307:Risk Factors; D054556:Venous Thromboembolism / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy*