Document Detail


Diagnosis of suspected venous thromboembolic disease in pregnancy.
MedLine Citation:
PMID:  16356811     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Venous thromboembolic disease is a leading cause of maternal mortality during pregnancy. Early and accurate radiological diagnosis is essential as anticoagulation is not without risk and clinical diagnosis is unreliable. Although the disorder is potentially treatable, unnecessary treatment should be avoided. Most of the diagnostic imaging techniques involve ionizing radiation which exposes both the mother and fetus to finite radiation risks. There is a relative lack of evidence in the literature to guide clinicians and radiologists on the most appropriate method of assessing this group of patients. This article will review the role of imaging of suspected venous thromboembolic disease in pregnant patients, highlight contentious issues such as radiation risk, intravenous contrast use in pregnancy and discuss the published guidelines, as well as suggesting an appropriate imaging algorithm based on the available evidence.
Authors:
A F Scarsbrook; A L Evans; A R Owen; F V Gleeson
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical radiology     Volume:  61     ISSN:  0009-9260     ISO Abbreviation:  Clin Radiol     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2005-12-16     Completed Date:  2006-02-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1-12     Citation Subset:  IM    
Affiliation:
Department of Radiology, Churchill Hospital, Oxford Radcliffe NHS Trust, Headington, Oxford, UK.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Angiography / methods
Contrast Media / adverse effects
Female
Humans
Lung / blood supply
Magnetic Resonance Angiography / methods
Phlebography / methods
Plethysmography, Impedance / methods
Practice Guidelines as Topic
Pregnancy
Pregnancy Complications, Cardiovascular / radiography*,  radionuclide imaging,  ultrasonography
Pulmonary Embolism / radiography*,  radionuclide imaging,  ultrasonography
Radionuclide Imaging / adverse effects
Thromboembolism / radiography*,  radionuclide imaging,  ultrasonography
Tomography, X-Ray Computed / methods
Chemical
Reg. No./Substance:
0/Contrast Media

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