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Diagnostic de l'embolie pulmonaire chez la femme enceinte : comment faire ?

Soulier, Valérie
Published in Revue médicale suisse. 2014, vol. 10, no. 447, p. 1949-50,1952-4
Abstract No diagnostic strategy for pulmonary embo- lism (PE) during pregnancy is based on strong evidence and unanimously accepted. Clinical scores are not validated. The diagnostic yield of the non radiating tests is low: D-dimer is rarely negative in pregnant women and lower limb venous compression ultrasonography is poorly sensitive. Nevertheless, they are still recommended as first line exams. The radia- ting exams (ventilation-perfusion scintigra- phy and thoracic angio-CT) have an equiva- lent diagnostic yield (more than 90%). But both raise the risk of cancer: any childhood cancer for the fetus (scintigraphy), and breast cancer for the mother (angio-CT). However, the diagnosis of PE in the pregnant woman has a major impact and must be established with certainty, even if this requires performing radiation imaging.
Keywords FemaleFibrin Fibrinogen Degradation Products/analysisHumansPerfusion Imaging/methodsPregnancyPregnancy Complications, Cardiovascular/diagnosis/physiopathologyPulmonary Embolism/complications/diagnosis/physiopathologyTomography, X-Ray Computed/methods
PMID: 25518203
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Research groups Groupe Perrier Arnaud (Médecine interne générale, de réhabilitation et de gériatrie) (585)
La maladie thromboembolique veineuse (808)
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SOULIER, Valérie, RIGHINI, Marc Philip, PERRIER, Arnaud. Diagnostic de l'embolie pulmonaire chez la femme enceinte : comment faire ?. In: Revue médicale suisse, 2014, vol. 10, n° 447, p. 1949-50,1952-4. https://archive-ouverte.unige.ch/unige:73794

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