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Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism
Author(s) -
L.M. van der Pol,
Cécile Tromeur,
Ingrid M. Bistervels,
Fionnuala Ní Áinle,
Thomas van Bemmel,
Laurent Bertoletti,
Françis Couturaud,
Yordi P.A. van Dooren,
Antoine Élias,
Laura M. Faber,
Herman M.A. Hofstee,
Tom van der Hulle,
Marieke J.H.A. Kruip,
Maxime Maignan,
Albert T.A. Mairuhu,
Saskia Middeldorp,
Mathilde Nijkeuter,
PierreMarie Roy,
Olivier Sanchez,
Jeannot Schmidt,
Marije ten Wolde,
Frederikus A. Klok,
Menno V. Huisman
Publication year - 2019
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa1813865
Subject(s) - pulmonary embolism , medicine , pulmonary angiography , radiology , pregnancy , deep vein , thrombosis , angiography , venous thrombosis , d dimer , lung , genetics , biology
Pulmonary embolism is one of the leading causes of maternal death in the Western world. Because of the low specificity and sensitivity of the d-dimer test, all pregnant women with suspected pulmonary embolism undergo computed tomographic (CT) pulmonary angiography or ventilation-perfusion scanning, both of which involve radiation exposure to the mother and fetus. Whether a pregnancy-adapted algorithm could be used to safely avoid diagnostic imaging in pregnant women with suspected pulmonary embolism is unknown.

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