Imaging evaluation of the pregnant patient with suspected pulmonary embolism

International Journal of Obstetric Anesthesia

Volumn 20, Issue 1, 2011, Pages 51-59

  Duran Mendicuti A ^a   Sodickson, A ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CONTRAST MEDIUM; D DIMER;

ALGORITHM; CLINICAL ASSESSMENT; COMPRESSION ULTRASOUND; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; DEEP VEIN THROMBOSIS; DIAGNOSTIC ACCURACY; ECHOGRAPHY; HUMAN; LUNG ANGIOGRAPHY; LUNG EMBOLISM; LUNG VENTILATION PERFUSION RATIO; MAGNETIC RESONANCE ANGIOGRAPHY; MAGNETIC RESONANCE VENOGRAPHY; PREGNANT WOMAN; PRENATAL EXPOSURE; RADIATION EXPOSURE; REVIEW; THORAX RADIOGRAPHY; VENOUS THROMBOEMBOLISM;

ADULT; ALGORITHMS; ANGIOGRAPHY; FEMALE; FETUS; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; MAGNETIC RESONANCE ANGIOGRAPHY; PHLEBOGRAPHY; PREGNANCY; PREGNANCY COMPLICATIONS; PULMONARY CIRCULATION; PULMONARY EMBOLISM; RADIATION DOSAGE; VENTILATION-PERFUSION RATIO;

EID: 78651322041     PISSN: 0959289X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijoa.2010.07.018     Document Type: Review

References (58)

1. J.A. Heit, C.E. Kobbervig, A.H. James, T.M. Petterson, K.R. Bailey, and L.J. Melton 3rd Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study Ann Intern Med 143 2005 697 706
2. A.H. James, M.G. Jamison, L.R. Brancazio, and E.R. Myers Venous thromboembolism during pregnancy and the postpartum period: incidence, risk factors, and mortality Am J Obstet Gynecol 194 2006 1311 1315
3. J.G. Ray, and W.S. Chan Deep vein thrombosis during pregnancy and the puerperium: a meta-analysis of the period of risk and the leg of presentation Obstet Gynecol Surv 54 1999 265 271
4. S. Eichinger, A. Weltermann, and K. Philipp Prospective evaluation of hemostatic system activation and thrombin potential in healthy pregnant women with and without factor V Leiden Thromb Haemost 82 1999 1232 1236
5. N.S. Macklon, I.A. Greer, and A.W. Bowman An ultrasound study of gestational and postural changes in the deep venous system of the leg in pregnancy BJOG 104 1997 191 197
6. J.S. Ginsberg, P. Brill-Edwards, and R.F. Burrows Venous thrombosis during pregnancy: leg and trimester of presentation Thromb Haemost 67 1992 519 520
7. M.A. Rodger, L.I. Avruch, H.E. Howley, A. Olivier, and M.C. Walker Pelvic magnetic resonance venography reveals high rate of pelvic vein thrombosis after cesarean section Am J Obstet Gynecol 194 2006 436 437 (Pubitemid 43183697)
8. P.E. Marik, and L.A. Plante Venous thromboembolic disease and pregnancy N Engl J Med 359 2008 2025 2033
9. P.S. Wells, D.R. Anderson, and M. Rodger Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer Ann Intern Med 135 2001 98 107
10. P.S. Wells Integrated strategies for the diagnosis of venous thromboembolism J Thromb Haemost 5 Suppl 1 2007 41 50
11. G. Le Gal, M. Righini, and P.M. Roy Prediction of pulmonary embolism in the emergency department: the revised Geneva score Ann Intern Med 144 2006 165 171
12. F.A. Klok, I.C. Mos, and M. Nijkeuter Simplification of the revised Geneva score for assessing clinical probability of pulmonary embolism Arch Intern Med 168 2008 2131 2136
13. J.A. Kline, R.D. Nelson, R.E. Jackson, and D.M. Courtney Criteria for the safe use of D-dimer testing in emergency department patients with suspected pulmonary embolism: a multicenter US study Ann Emerg Med 39 2002 144 152
14. W.S. Chan, and J.S. Ginsberg Diagnosis of venous thromboembolism in pregnancy: a study in extrapolation or a science in evolution? Expert Rev Cardiovasc Ther 7 2009 1479 1482
15. P.D. Stein, P.K. Woodard, and J.G. Weg Diagnostic pathways in acute pulmonary embolism: recommendations of the PIOPED II investigators Am J Med 119 2006 1048 1055
16. M. Nijkeuter, J.S. Ginsberg, and M.V. Huisman Diagnosis of deep vein thrombosis and pulmonary embolism in pregnancy: a systematic review J Thromb Haemost 4 2006 496 500
17. M. Nijkeuter, and M.V. Huisman Diagnosing pulmonary embolism in pregnancy: is there a role for D-dimer as a stand-alone test? Crit Care Med 34 2006 2701
18. S.S. Adam, N.S. Key, and C.S. Greenberg D-dimer antigen: current concepts and future prospects Blood 113 2009 2878 2887
19. M. Kovac, Z. Mikovic, and L. Rakicevic The use of D-dimer with new cutoff can be useful in diagnosis of venous thromboembolism in pregnancy Eur J Obstet Gynecol Reprod Biol 148 2010 27 30
20. W.S. Chan, S. Chunilal, A. Lee, M. Crowther, M. Rodger, and J.S. Ginsberg A red blood cell agglutination D-dimer test to exclude deep venous thrombosis in pregnancy Ann Intern Med 147 2007 165 170
21. D.J. Brenner, R. Doll, and D.T. Goodhead Cancer risks attributable to low doses of ionizing radiation: assessing what we really know Proc Natl Acad Sci USA 100 2003 13761 13766
22. Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation; National Research Council (U.S.). Health risks from exposure to low levels of ionizing radiation: BEIR VII, phase 2. Washington, DC: National Academies Press; 2006.
23. International Commission on Radiological Protection (ICRP). 1990 recommendations of the International Commission on Radiological Protection, publication 60. Stockholm, Sweden: IRCP; 1991.
24. National Council on Radiation Protection and Measurements (NCRP). Evaluation of the linear-nonthreshold dose-response model for ionizing radiation, report 136. Bethesda, MD: NCRP; 2001.
25. C.H. McCollough, B.A. Schueler, and T.D. Atwell Radiation exposure and pregnancy: when should we be concerned? Radiographics 27 2007 909 917
26. H.T. Winer-Muram, J.M. Boone, H.L. Brown, S.G. Jennings, W.C. Mabie, and G.T. Lombardo Pulmonary embolism in pregnant patients: fetal radiation dose with helical CT Radiology 224 2002 487 492
27. L.M. Hurwitz, T. Yoshizumi, and R.E. Reiman Radiation dose to the fetus from body MDCT during early gestation AJR Am J Roentgenol 186 2006 871 876
28. International Commission on Radiological Protection. Biological effects after prenatal irradiation (embryo and fetus). ICRP publication no. 90. New York, NY: Pergamon; 2003, p. 122.
29. L.K. Wagner, R.G. Lester, and L.R. Saldana Exposure of the pregnant patient to diagnostic radiations: a guide to medical management 2nd ed. 1997 Medical Physics Publishing Madison, WI p. 83
30. National Council on Radiation Protection and Measurements. Medical radiation exposure of pregnant and potentially pregnant women. NCRP report no. 54. Bethesda, Md: National Council on Radiation Protection and Measurements; 1977.
31. ACOG Committee on Obstetric Practice. Guidelines for diagnostic imaging during pregnancy. ACOG Committee opinion no. 299 Obstet Gynecol 104 2004 647 651
32. R. Doll, and R. Wakeford Risk of childhood cancer from fetal irradiation Br J Radiol 70 1997 130 139
33. M.S. Parker, F.K. Hui, M.A. Camacho, J.K. Chung, D.W. Broga, and N.N. Sethi Female breast radiation exposure during CT pulmonary angiography AJR Am J Roentgenol 185 2005 1228 1233
34. J.V. Cook, and J. Kyriou Radiation from CT and perfusion scanning in pregnancy BMJ 331 2005 350
35. J. Chen, R.J. Lee, A. Tsodikov, L. Smith, and D.K. Gaffney Does radiotherapy around the time of pregnancy for Hodgkin's disease modify the risk of breast cancer? Int J Radiat Oncol Biol Phys 58 2004 1474 1479
36. A. Sodickson, P.F. Baeyens, and K.P. Andriole Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults Radiology 251 2009 175 184
37. R.T. Griffey, and A. Sodickson Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT AJR Am J Roentgenol 192 2009 887 892
38. D.F. Worsley, A. Alavi, J.M. Aronchick, J.T. Chen, R.H. Greenspan, and C.E. Ravin Chest radiographic findings in patients with acute pulmonary embolism: observations from the PIOPED study Radiology 189 1993 133 136
39. C. Kearon, J.A. Julian, T.E. Newman, and J.S. Ginsberg Noninvasive diagnosis of deep venous thrombosis. McMaster Diagnostic Imaging Practice Guidelines Initiative Ann Intern Med 128 1998 663 677
40. R.G. Sheiman, and C.R. McArdle Clinically suspected pulmonary embolism: use of bilateral lower extremity US as the initial examination - a prospective study Radiology 212 1999 75 78
41. S.J. Patel, D.L. Reede, D.S. Katz, R. Subramaniam, and J.K. Amorosa Imaging the pregnant patient for nonobstetric conditions: algorithms and radiation dose considerations Radiographics 27 2007 1705 1722
42. J.K. Pahade, D. Litmanovich, I. Pedrosa, J. Romero, A.A. Bankier, and P.M. Boiselle Quality initiatives: imaging pregnant patients with suspected pulmonary embolism: what the radiologist needs to know Radiographics 29 2009 639 654
43. M. Remy-Jardin, M. Pistolesi, and L.R. Goodman Management of suspected acute pulmonary embolism in the era of CT angiography: a statement from the Fleischner Society Radiology 245 2007 315 329
44. P.D. Stein, S.E. Fowler, and L.R. Goodman Multidetector computed tomography for acute pulmonary embolism N Engl J Med 354 2006 2317 2327
45. S.D. Qanadli, M.E. Hajjam, and B. Mesurolle Pulmonary embolism detection: prospective evaluation of dual-section helical CT versus selective pulmonary arteriography in 157 patients Radiology 217 2000 447 455
46. H.T. Winer-Muram, J. Rydberg, and M.S. Johnson Suspected acute pulmonary embolism: evaluation with multi-detector row CT versus digital subtraction pulmonary arteriography Radiology 233 2004 806 815
47. B. Ghaye, A. Ghuysen, and V. Willems Severe pulmonary embolism: pulmonary artery clot load scores and cardiovascular parameters as predictors of mortality Radiology 239 2006 884 891
48. Ultravist package insert. Bayer HealthCare Pharmaceuticals Inc. Wayne, NJ; 2007.
49. J.A. Webb, H.S. Thomsen, and S.K. Morcos The use of iodinated and gadolinium contrast media during pregnancy and lactation Eur Radiol 15 2005 1234 1240
50. M.K. Kalra, M.M. Maher, and T.L. Toth Strategies for CT radiation dose optimization Radiology 230 2004 619 628
51. C.H. McCollough, M.R. Bruesewitz, and J.M. Kofler Jr CT dose reduction and dose management tools: overview of available options Radiographics 26 2006 503 512
52. American Association of Physicists in Medicine. AAPM report No. 96. The measurement, reporting, and management of radiation dose in CT. < http://www.aapm.org/pubs/reports/RPT-96.pdf >; 2008 Published Jan 2008. Updated April 2008. [accessed 24.7.08].
53. Value of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). The PIOPED Investigators. JAMA 1990;263:2753-9.
54. J.E. Freitas, M.G. Sarosi, C.C. Nagle, M.E. Yeomans, A.E. Freitas, and J.E. Juni Modified PIOPED criteria used in clinical practice J Nucl Med 36 1995 1573 1578
55. A.J. Evans, H.D. Sostman, and L.A. Witty Detection of deep venous thrombosis: prospective comparison of MR imaging and sonography J Magn Reson Imaging 6 1996 44 51
56. A.J. Evans, H.D. Sostman, and M.H. Knelson 1992 ARRS Executive Council Award. Detection of deep venous thrombosis: prospective comparison of MR imaging with contrast venography AJR Am J Roentgenol 161 1993 131 139
57. E. Kanal, A.J. Barkovich, and C. Bell ACR guidance document for safe MR practices: 2007 AJR Am J Roentgenol 188 2007 1447 1474
58. A.G. Cahill, M.J. Stout, G.A. Macones, and S. Bhalla Diagnosing pulmonary embolism in pregnancy using computed-tomographic angiography or ventilation-perfusion Obstet Gynecol 114 2009 124 129