

Other version: http://www.revmed.ch/rms/2014/RMS-N-447/Diagnostic-de-l-embolie-pulmonaire-chez-la-femme-enceinte-comment-faire
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Diagnostic de l’embolie pulmonaire chez la femme enceinte : comment faire ? |
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Authors | ||
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 | |
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![]() ![]() Other version: http://www.revmed.ch/rms/2014/RMS-N-447/Diagnostic-de-l-embolie-pulmonaire-chez-la-femme-enceinte-comment-faire |
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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 |