The Teaching Point

PE is a medical emergency and it is imperative to institute treatment as soon as the diagnosis is confirmed. The treatment of pulmonary embolism is based on clinical assessment and can be aided by imaging results. The investigation of confounding risk factors and possible causes should not compromise the initial treatment of the PE.






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From the manuscript

Pulmonary Embolism following Endovenous Laser Ablation (EVLA) of the Great Saphenous Vein

Free full text article: Pulmonary Embolism following Endovenous Laser Ablation (EVLA) of the Great Saphenous Vein

Abstract
A 70yr old lady presented to accident and emergency with sudden onset pleuritic chest pain. A pulmonary embolus (PE) was diagnosed by CTPA. Ten days earlier she had bilateral EVLA for recurrent great saphenous vein disease. Confounding risk factors for pulmonary embolism included bilateral ligation and stripping of the great saphenous vein a year earlier, malignancy, EVLA and phlebitic tributary varices. EVLA has been shown to be an effective treatment for superficial venous insufficiency with low morbidity and high patient satisfaction. The investigation of confounding risk factors and possible causes should not compromise the initial treatment of PE.






References



1. Wells PS, Ginsberg JS, Anderson DR, Kearon C, Gent M, Turpie AG. Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann Intern Med 1998;129(12):997-1005.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Navarro L, Min R, Bone C. Endovenous laser: a new minimally invasive method of treatment for varicose veins--preliminary observations using an 810 nm diode laser. Dermatol Surg 2001;27:117-122.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine
3. IPG052 Endovenous laser treatment of the long saphenous vein - information for people considering the procedure, and for the public (http://www.nice.org.uk/nicemedia/pdf/IPG052publicinfo.pdf): National Institute for Clinical Excellence, March 2004..
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4. Min R, Khilnani N, Zimmet S. Endovenous Laser Treatment of Saphenous Vein Reflux: Long-Term Results. J Vasc Interv Radiol 2003;14:991 - 996.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Durai R, Srodon PD, Kyriakides C. Endovenous laser ablation for superficial venous insufficiency. Int J Clin Pract 2008.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Nwaejike N, Srodon PD, Kyriakides C. Endovenous Laser Ablation for Short Saphenous Vein Incompetence. Ann Vasc Surg 2008.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Virchow RLK. Thrombose und Embolie. Gefässentzündung und septische Infektion Gesammelte Abhandlungen zur wissenschaftlichen Medicin
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. The British Thoracic Society Standards of Care Committee PEGDG. BTS Guidelines for the Management of Suspected Acute Pulmonary Embolism, 2003. Thorax 2003;48:470-484.
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