Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism

CT pulmonary angiography is a standard diagnostic method for pulmonary embolism, but in pregnant women, this imaging test could expose mother and child to risks from radiation. A diagnostic algorithm allowed up to two thirds of pregnant women with suspected pulmonary embolism to safely avoid CT pulm...

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Veröffentlicht in:	The New England journal of medicine 2019-03, Vol.380 (12), p.1139-1149
Hauptverfasser:	van der Pol, Liselotte M, Tromeur, Cecile, Bistervels, Ingrid M, Ni Ainle, Fionnuala, van Bemmel, Thomas, Bertoletti, Laurent, Couturaud, Francis, van Dooren, Yordi P.A, Elias, Antoine, Faber, Laura M, Hofstee, Herman M.A, van der Hulle, Tom, Kruip, Marieke J.H.A, Maignan, Maxime, Mairuhu, Albert T.A, Middeldorp, Saskia, Nijkeuter, Mathilde, Roy, Pierre-Marie, Sanchez, Olivier, Schmidt, Jeannot, ten Wolde, Marije, Klok, Frederikus A, Huisman, Menno V
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Adult Algorithms Angiography Cardiac arrhythmia Cardiology and cardiovascular system Compression Computed tomography Computed Tomography Angiography Diagnosis Dyspnea Embolism Embolisms Evidence-based medicine Female Fetuses Fibrin Fibrinogen Degradation Products - analysis Health risk assessment Hemoptysis Human health and pathology Humans Life Sciences Medical diagnosis Medical imaging Patients Perfusion Pregnancy Pregnancy Complications, Cardiovascular - diagnosis Pregnancy Complications, Cardiovascular - diagnostic imaging Prospective Studies Pulmonary Embolism - diagnosis Pulmonary Embolism - diagnostic imaging Pulmonary embolisms Thromboembolism Thrombosis Ultrasound Venous Thromboembolism - diagnosis Venous Thrombosis - diagnosis Violations Womens health
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Beschreibung
Zusammenfassung:	CT pulmonary angiography is a standard diagnostic method for pulmonary embolism, but in pregnant women, this imaging test could expose mother and child to risks from radiation. A diagnostic algorithm allowed up to two thirds of pregnant women with suspected pulmonary embolism to safely avoid CT pulmonary angiography.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMoa1813865