ACEP Clinical Policy on Nontraumatic Aortic Dissection

In adult patients with suspected acute nontraumatic thoracic aortic dissection, is a negative serum D-dimer sufficient to identify a group of patients at very low risk for the diagnosis

of thoracic aortic dissection?
Level C recommendations. In adult patients with suspected nontraumatic thoracic aortic dissection, do not rely on D-dimer alone to exclude the diagnosis of aortic dissection.

Ongoing challenge regarding the role of D-Dimer in TAD, and some assurance to back up our discussion to not rely on D-Dimer in case of suspicious for TAD

 

Link To Clinical Policy