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Journal of Education, Health and Sport

Pulmonary embolism during pregnancy: How to avoid computed tomographic pulmonary angiography?
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Pulmonary embolism during pregnancy: How to avoid computed tomographic pulmonary angiography?

Authors

  • Marcelina Makuch Medical University of Lublin. Chair and Department of Pneumology, Oncology and Allergology https://orcid.org/0000-0002-6850-7006
  • Marcin Makuch Medical University of Lublin, Chair and Department of Internal Diseases https://orcid.org/0000-0001-7139-9862

DOI:

https://doi.org/10.12775/JEHS.2020.10.09.042

Keywords

venous thromboembolism, pulmonary embolism, computed tomographic pulmonary angiography, YEARS algorithm

Abstract

Pregnancy and the postpartum period are well-established risk factors for venous thromboembolism (VTE). Computed tomographic pulmonary angiography (CTPA) remains the gold standard in the diagnosis of pulmonary embolism (PE), but exposure to teratogenic factors should be avoided in pregnant women. A few years ago the YEARS algorithm was developed, primarily to determine the need for CTPA.

References

Kamel H, Navi BB, Sriram N, et al. Risk of a thrombotic event after the 6-week postpartum period. N Engl J Med 2014; 370:1307.

Cahill AG, Stout MJ, Macones GA, Bhalla S. Diagnosing pulmonary embolism in pregnancy using computed-tomographic angiography or ventilation-perfusion. Obstet Gynecol 2009; 114:124.

U-King-Im JM, Freeman SJ, Boylan T, Cheow HK. Quality of CT pulmonary angiography for suspected pulmonary embolus in pregnancy. Eur Radiol 2008; 18:2709.

Revel MP, Cohen S, Sanchez O, et al. Pulmonary embolism during pregnancy: diagnosis with lung scintigraphy or CT angiography? Radiology 2011; 258:590.

Rosenberg VA, Lockwood CJ (2007) Thromboembolism in pregnancy. Obstet Gynecol Clin North Am 34:481–500.

van der Pol LM, Tromeur C, Bistervels IM, Ni Ainle F, van Bemmel T, Bertoletti L et al. (2019) Pregnancy-adapted YEARS algorithm for diagnosis of suspected pulmonary embolism. N Engl J Med 380(12):1139–1149.

Wiegers HMG, Middeldorp S. Contemporary best practice in the management of pulmonary embolism during pregnancy. Ther Adv Respir Dis. 2020;14:1753466620914222.

Jiang L, Ma Y, Zhao C, et al. Role of Transthoracic Lung Ultrasonography in the Diagnosis of Pulmonary Embolism: A Systematic Review and Meta-Analysis. PLoS One. 2015;10(6):e0129909..

Fields JM, Davis J, Girson L, et al. Transthoracic Echocardiography for Diagnosing Pulmonary Embolism: A Systematic Review and Meta-Analysis. J Am Soc Echocardiogr. 2017;30(7):714-723.e4.

Le Gal G, Righini M, Sanchez O, Roy PM, Baba-Ahmed M, Perrier A, Bounameaux H. A positive compression ultrasonography of the lower limb veins is highly predictive of pulmonary embolism on computed tomography in suspected patients. Thromb Haemost. 2006;95:963–966.

Simcox LE, Ormesher L, Tower C, Greer IA. Pulmonary thrombo-embolism in pregnancy: diagnosis and management. Breathe (Sheff). 2015;11(4):282-289.

Wiegers HMG, Middeldorp S. Contemporary best practice in the management of pulmonary embolism during pregnancy. Ther Adv Respir Dis. 2020;14:1753466620914222.

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Published

2020-09-18

How to Cite

1.
MAKUCH, Marcelina and MAKUCH, Marcin. Pulmonary embolism during pregnancy: How to avoid computed tomographic pulmonary angiography?. Journal of Education, Health and Sport. Online. 18 September 2020. Vol. 10, no. 9, pp. 364-368. [Accessed 7 July 2025]. DOI 10.12775/JEHS.2020.10.09.042.
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Issue

Vol. 10 No. 9 (2020)

Section

Review Articles

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