TY - CHAP M1 - Book, Section TI - Deep Venous Thrombosis and Pulmonary Embolism A1 - Kaatz, Scott A2 - Cohn, Steven L. PY - 2021 T2 - Decision Making in Perioperative Medicine: Clinical Pearls AB - Postoperative venous thromboembolic disease (VTE) accounts for approximately 25% of all VTE despite prophylaxis.1 Most postoperative patients will have an intermediate or high pretest probability of VTE. D-dimer testing in the postoperative patient has limited utility because of the high frequency of elevated results, and the American Society of Hematology guidelines recommend against the use of D-dimer alone to diagnose VTE.2 Computed tomographic pulmonary angiography and duplex ultrasound are suggested as initial studies of pulmonary embolism (PE) and deep vein thrombosis (DVT), respectively, and serial duplex ultrasound should be used in patients with high suspicion of DVT and an initial negative study.2 SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/20 UR - accessmedicine.mhmedical.com/content.aspx?aid=1179531916 ER -