The initial prospective literature searches for this project were performed in 1996, 1997, and 2002. The current update is based on a supplemental literature search performed in January 2008. For diagnostic topic, literature published since the 2002 was searched. For treatment topics, the team accepted the literature search performed through May 2006 for the American College of Chest Physicians guideline on antithrombotic therapy for venous thromboembolic disease. Literature published since May 2006 was searched.
The population was adults. Major key words were: pulmonary embolism and deep venous thrombosis thrombophlebitis (includes venous thromboembolism, thromboembolism, venous thrombosis), guidelines, controlled trials, meta-analyses. Additional search terms for diagnosis were: duplex venous scan, pulmonary angiography, ventilation perfusion (V/Q) scan, arterial blood gasses (O2 saturation), computed tomography, computed tomography (CT) angiography, CT venography, magnetic resonance imaging, D-dimer, recurrent pulmonary embolism, pulmonary hypertension–embolism, and pregnancy and venous thromboembolism (VTE) diagnosis. Additional search terms for treatment were: low molecular weight heparin, heparin, warfarin, international normalized ratio, prothrombin time, argatroban, lepirudin, bivalirudin, vena cava filter, temporary filter, massive pulmonary embolism (angiographic embolism removal, extracorporeal membrane oxygenation (ECMO), thrombolytic: pharmaceutical and mechanical), pregnancy and VTE treatment, and failure of therapy. Detailed search terms and strategy are available upon request.