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https://www.readbyqxmd.com/read/26773329/the-problem-of-pulmonary-embolism-diagnosis-in-pregnancy
#1
Steve Goodacre, Beverley Hunt
No abstract text is available yet for this article.
January 15, 2016: British Journal of Haematology
https://www.readbyqxmd.com/read/26746328/inferior-vena-cava-filters-in-pregnancy-a-systematic-review
#2
REVIEW
Sally A Harris, Rahul Velineni, Alun H Davies
During pregnancy, patients have an increased risk of venous thromboembolism (VTE). This is an important cause of maternal mortality. Inferior vena cava (IVC) filters can be used to prevent pulmonary embolism in complicated cases of VTE during pregnancy. The present systematic review includes all patients reported in the literature who had an IVC filter placed during pregnancy. The indications for IVC filters are discussed, along with practical considerations for placement during pregnancy, filter effectiveness, and maternal and fetal mortality and morbidity...
March 2016: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/26626553/-diagnosis-and-management-of-acute-pulmonary-embolism-esc-guidelines-2014
#3
J A Saar, C Maack
Acute pulmonary embolism (PE) still represents a challenge regarding a rapid diagnosis and a risk-adapted therapy. In the 2014 guidelines of the European Society of Cardiology (ESC) on the diagnosis and management of acute PE, several new recommendations have been issued based on new study data. Some established scores for risk stratification were developed further and there is now good evidence for the use of age-adjusted D-dimer cut-off levels. For the risk stratification in patients without clinical features of shock, the utilization of the pulmonary embolism severity index (PESI) and simplified PESI (sPESI) scores is recommended...
December 2015: Herz
https://www.readbyqxmd.com/read/26457952/management-of-acute-pulmonary-embolism
#4
Rehan Quadery, Charlie A Elliot, Judith Hurdman, David G Kiely, Rhona M Maclean, Ian Sabroe, Joost J van Veen, Robin Condliffe
No abstract text is available yet for this article.
October 2015: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/26406886/epidemiology-of-venous-thromboembolism-vte-associated-with-pregnancy
#5
REVIEW
Leonid A Parunov, Natalia P Soshitova, Mikhail V Ovanesov, Mikhail A Panteleev, Ilya I Serebriyskiy
This review is focused on the epidemiology of venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), associated with pregnancy. Superficial vein thrombosis, a less hazardous and less studied type of thrombosis in pregnant women, is beyond the scope of this review. This study discusses the VTE incidence rate in women from developed countries for both antepartum and postpartum periods and for subpopulations of women affected by additional risk factors, such as thrombophilias, circulatory diseases, preeclampsia of varying degrees of severity, and Caesarean section...
September 2015: Birth Defects Research. Part C, Embryo Today: Reviews
https://www.readbyqxmd.com/read/26404051/diagnosis-and-management-of-thrombosis-in-pregnancy
#6
REVIEW
Barbara A Konkle
Pregnancy-related thrombosis is a major cause of maternal mortality. Pregnancy and the puerperium are associated with a fourfold to fivefold increased risk of thrombosis when compared with the nonpregnant state. The greatest time of risk is in the postpartum period. Diagnosis of venous thromboembolism (VTE) during pregnancy can be challenging as many of the symptoms can be associated with normal pregnancy. Almost all deep venous thrombosis occurs in the left leg or iliac veins. Diagnostic procedures for pulmonary embolism carry some exposure to radiation, although risks are low when compared with risks associated with an undiagnosed maternal PE...
September 2015: Birth Defects Research. Part C, Embryo Today: Reviews
https://www.readbyqxmd.com/read/26373908/-ultrasound-in-thromboembolism
#7
REVIEW
Gebhard Mathis
Imaging of pulmonary embolism (PTE) remains a great challange. Mortatity is even high. Possibilities of lung ultrasound, echocardiography, and compression leg vein sonography are discussed. Hemodynamic instable patients should achieve echocardiography at bed side with an accuracy of 90% and immeadiatly treated. In case of a suspected PTE, compression sonography of the leg veins is recommended. It can be performed within 2 min but, on average, yields a positive result in only one-half of the cases of PTE. During the last years, pulmonary sonography took root as a complementary method to MSCT either when the latter is not available or when it is contraindicated because of contrast agent allergy, renal insufficiency, or pregnancy...
September 16, 2015: Praxis
https://www.readbyqxmd.com/read/26304188/reduced-z-axis-technique-for-ct-pulmonary-angiography-in-pregnancy-validation-for-practical-use-and-dose-reduction
#8
Kaushik Shahir, Jonathan M McCrea, Luis Antonio Sosa Lozano, Lawrence R Goodman
The aim of this study is to determine the feasibility of using reduced scan range CT pulmonary angiography technique in pregnancy for pulmonary embolism (PE) and to quantify resulting dose reduction. This was a retrospective study. Eighty-four CTPA exams performed on pregnant women during 2004-2012. The scans were modified to create reduced anatomic coverage scans extending from aortic arch to base of heart. These were separately evaluated by two radiologists for PE and non-PE abnormalities. The results were then compared by the third radiologist with original radiology report and scans...
December 2015: Emergency Radiology
https://www.readbyqxmd.com/read/26244307/clinical-practice-pregnancy-complicated-by-venous-thrombosis
#9
REVIEW
Ian A Greer
No abstract text is available yet for this article.
August 6, 2015: New England Journal of Medicine
https://www.readbyqxmd.com/read/26167970/-treatment-and-diagnosis-of-pulmonary-embolism-in-pregnancy
#10
REVIEW
Savaş Özsu, Oğuz Uzun
When occurring during pregnancy, venous thrombo-embolism is a major cause of maternal mortality. The risk is highest in the third trimester of pregnancy and over the 6 weeks of the postpartum period. Exposure of the foetus to ionizing radiation is a concern when investigating suspected PE during pregnancy; although this concern is largely overruled by the hazards of missing a potentially fatal diagnosis. This is particularly true for pregnant patients with suspected high risk. A normal D-dimer value has the same exclusion value for PE in pregnant women as for other patients with suspected PE but is found more rarely, because plasma D-dimer levels physiologically increase throughout pregnancy...
June 2015: Tüberküloz Ve Toraks
https://www.readbyqxmd.com/read/26122422/successful-surgical-pulmonary-embolectomy-for-massive-perinatal-embolism-after-emergency-cesarean-section
#11
Sébastien Colombier, Lars Niclauss
Pregnant women are exposed to an increased risk for developing pulmonary embolism (PE), a main cause for maternal mortality. Surgical pulmonary embolectomy is one important therapeutic and potential life-saving armamentarium, considering pregnancy as a relative contraindication for thrombolysis. We present a case of a 36-year-old woman with massive bilateral PE after emergent caesarean delivery, requiring reanimation by external heart massage. The onset of massive intrauterine bleeding contraindicated thrombolysis and emergency surgical pulmonary embolectomy, followed by a hysterectomy, were preformed successfully...
October 2015: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/25916742/v-p-spect-as-a-diagnostic-tool-for-pregnant-women-with-suspected-pulmonary-embolism
#12
Marika Bajc, Berit Olsson, Anders Gottsäter, Cecilia Hindorf, Jonas Jögi
PURPOSE: The purpose of the study was to assess the prevalence of pulmonary embolism (PE) and other lung diseases among pregnant women with suspected PE and to calculate the radiation exposure to patient and fetus in this population. As a secondary aim, we evaluated the negative predictive value of a normal ventilation/perfusion single photon emission computed tomography (V/P SPECT) examination in pregnancy. METHODS: We studied all 127 pregnant women who had suspected PE and had undergone V/P SPECT at our institution in the course of a 5-year period...
July 2015: European Journal of Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/25863772/emergency-evaluation-for-pulmonary-embolism-part-1-clinical-factors-that-increase-risk
#13
REVIEW
Jeffrey A Kline, Christopher Kabrhel
BACKGROUND: Pulmonary embolism (PE) can be fatal, but profligate testing for PE can harm patients. OBJECTIVES: With consideration of potential medicolegal implications, this two-part review provides current evidence about the care of patients with suspected and diagnosed PE in the emergency department (ED) setting. DISCUSSION: In part 1, we review published evidence to describe the epidemiology, risk factors, and clinical presentation of PE in the ED setting...
June 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25827861/massive-pulmonary-embolism-in-pregnancy-treated-with-catheter-directed-tissue-plasminogen-activator
#14
Jeremy Pick, David Berlin, James Horowitz, Ron Winokur, Akhilesh K Sista, Adam D Lichtman
Pulmonary embolism is a leading cause of maternal death in the United States, contributing to the death of approximately 2 women per 100,000 live births each year. Thrombosis during pregnancy traditionally is treated conservatively with unfractionated heparin or low-molecular-weight heparin; however, cardiovascular collapse associated with a large pulmonary embolus may require immediate aggressive intervention to save the mother and fetus. We report the use of catheter infusion thrombolysis in the successful management of a third-trimester pregnant patient with a hemodynamically significant saddle pulmonary embolus...
April 1, 2015: A & A Case Reports
https://www.readbyqxmd.com/read/25752876/the-problem-of-pulmonary-embolism-diagnosis-in-pregnancy
#15
LETTER
Roxanne Ramsay, Louise Byrd, Clare Tower, Jacqueline James, Mary Prescott, Jecko Thachil
No abstract text is available yet for this article.
September 2015: British Journal of Haematology
https://www.readbyqxmd.com/read/25692613/use-of-a-temporary-inferior-vena-cava-filter-during-pregnancy-in-patients-with-thromboembolic-events
#16
E González-Mesa, P Azumendi, A Marsac, A Armenteros, N Molina, I Narbona, J Herrera, I Artero, J M Rodríguez-Mesa
There are circumstances in the management of thromboembolic events during pregnancy when anticoagulant therapy is either contraindicated or not advisable, such as when pulmonary embolism (PE) or deep venous thrombosis is diagnosed close to term, given the risk of bleeding during delivery. In these cases, the thromboembolic risk can be controlled using temporary inferior vena cava filters (T-IVCFs). We present the case of a pregnant woman with thrombophilia who remained at rest for eight weeks due to an amniotic prolapse and for whom the placement of a T-IVCF was decided at 32 weeks' gestation after anticoagulant therapy had failed...
2015: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/25573167/factors-associated-with-maternal-death-from-direct-pregnancy-complications-a-uk-national-case-control-study
#17
MULTICENTER STUDY
M Nair, J J Kurinczuk, P Brocklehurst, S Sellers, G Lewis, M Knight
OBJECTIVE: To investigate the factors associated with maternal death from direct pregnancy complications in the UK. DESIGN: Unmatched case-control analysis. SETTING: All hospitals caring for pregnant women in the UK. POPULATION: A total of 135 women who died (cases) between 2009 and 2012 from eclampsia, pulmonary embolism, severe sepsis, amniotic fluid embolism, and peripartum haemorrhage, using data from the Confidential Enquiry into Maternal Death, and another 1661 women who survived severe complications (controls) caused by these conditions (2005-2013), using data from the UK Obstetric Surveillance System...
April 2015: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/25489560/effectiveness-of-d-dimer-as-a-screening-test-for-venous-thromboembolism-an-update
#18
REVIEW
Swaroopa Pulivarthi, Murali Krishna Gurram
Venous thromboembolism (VTE) is the leading cause of morbidity and mortality among hospitalized patients. We searched the PubMed database and reviewed the articles published until June 2011. Articles related to the D-dimer and VTE were considered to write this paper. Many factors play a key role in changing the sensitivity and specificity of D-dimer testing, including the extent of thrombosis and fibrinolytic activity, duration of symptoms, anticoagulant therapy, comorbidity due to surgical or medical illnesses, inflammatory diseases, cancer, elderly age, pregnancy and the postpartum period, and previous VTE...
October 2014: North American Journal of Medical Sciences
https://www.readbyqxmd.com/read/25452462/2014-esc-guidelines-on-the-diagnosis-and-management-of-acute-pulmonary-embolism
#19
Stavros V Konstantinides
No abstract text is available yet for this article.
December 1, 2014: European Heart Journal
https://www.readbyqxmd.com/read/25387211/diagnosis-treatment-and-prevention-of-venous-thromboembolism-in-pregnancy
#20
REVIEW
Ariela L Marshall
Pregnancy and the puerperium put women at increased risk of venous thromboembolism (VTE) due to both baseline maternal risk factors and the development of pregnancy-related prothrombotic anatomic and physiologic changes. Pregnant women are at an approximately 5-fold increased risk of VTE compared with nonpregnant women, and the risk of VTE increases further (to ≥ 20-fold) in puerperium; risk remains increased until approximately 12 weeks postpartum. Pregnancy-related VTE accounts for about 10% of maternal deaths in the developed world...
November 2014: Postgraduate Medicine
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