D-Dimer Assays in Diagnosis and Management of Thrombotic and Bleeding Disorders

被引:135
作者
Bates, Shannon M. [1 ,2 ]
机构
[1] McMaster Univ, Dept Med, Hamilton, ON, Canada
[2] Thrombosis & Atherosclerosis Res Inst, Hamilton, ON, Canada
关键词
D-dimer; venous thromboembolism; recurrence; anticoagulant duration; DEEP-VEIN THROMBOSIS; RECURRENT VENOUS THROMBOEMBOLISM; SUSPECTED PULMONARY-EMBOLISM; DISSEMINATED INTRAVASCULAR COAGULATION; PROTHROMBIN FRAGMENT 1+2; QUANTITATIVE D-DIMER; PLASMA D-DIMER; CLINICAL PROBABILITY; COMPRESSION ULTRASONOGRAPHY; INTERNATIONAL SOCIETY;
D O I
10.1055/s-0032-1326782
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
D-dimer is a global indicator of coagulation activation and fibrinolysis and, therefore, an indirect marker of thrombotic activity. The utility of D-dimer measurement has been evaluated in several clinical situations including the exclusion of venous thromboembolism (VTE), prediction of future risk of VTE, and the diagnosis and monitoring of disseminated intravascular coagulation (DIC). Assay standardization remains problematic and clinicians need to be aware of variability in D-dimer assay performance and the characteristics of their institution's test when making clinical decisions. This article will review the available evidence for the utilization of D-dimer antigen measurement in the management of thrombotic and bleeding disorders.
引用
收藏
页码:673 / 682
页数:10
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