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Title

Diagnostic de l'embolie pulmonaire chez la femme enceinte : comment faire ?
Authors
Soulier, Valérie
Righini, Marc Philip
Perrier, Arnaud
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 Female — Fibrin Fibrinogen Degradation Products/analysis — Humans — Perfusion Imaging/methods — Pregnancy — Pregnancy Complications, Cardiovascular/diagnosis/physiopathology — Pulmonary Embolism/complications/diagnosis/physiopathology — Tomography, X-Ray Computed/methods
Identifiers
PMID: 25518203
Full text
Article (Published version) (494 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Other version: http://www.revmed.ch/rms/2014/RMS-N-447/Diagnostic-de-l-embolie-pulmonaire-chez-la-femme-enceinte-comment-faire
Structures
Faculté de médecine / Section de médecine clinique / Département de médecine
Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie
Research groups Groupe Perrier Arnaud (Médecine interne générale, de réhabilitation et de gériatrie) (585)
La maladie thromboembolique veineuse (808)
Citation
(ISO format) 		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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Deposited on : 2015-07-01

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