Journal article

Investigation and diagnostic imaging of suspected pulmonary embolism during pregnancy and the puerperium: A review of the literature

Jodie Tester, Gary Hammerschlag, Louis Irving, Diane Pascoe, Megan Rees

JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY | WILEY | Published : 2020

Abstract

Pulmonary embolism (PE) is a leading cause of maternal mortality with women at increased risk of PE during pregnancy and the early postpartum period. Clinical assessment of suspected PE during pregnancy is challenging as signs and symptoms associated with PE overlap with physiological changes of pregnancy. Clinical tests and rules commonly used to assess pre-test probability of PE were historically not well validated in the pregnant population. The challenges of clinical assessment in the pregnant and postpartum population result in a lowered threshold for diagnostic imaging. Computed tomographic pulmonary angiography (CTPA) and nuclear medicine lung scintigraphy or ventilation/perfusion (V/..

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