With the interesting conclusion:
Acute aortic dissection can be ruled out with a high certainty in patients with a plasma D-dimer level < 500 ng/ml
As long as we apply this only in patients with otherwise low risk, and other reassuring clinical findings (sounds very much like the use of d-dimer in exclusion of PE).
A contemporaneous review, however, concluded that:
There is inadequate evidence to support the use of D-dimer to exclude acute aortic dissection.
So, do we have an answer on this question? Is d-dimer useful at all in excluding aortic dissection?
See her presentation here, and read the full article below, and let us know your opinion...
Read the article