Diagnostic de l’embolie pulmonaire chez la femme enceinte : apport de la scintigraphie. Étude rétrospective à propos de 116 cas

Heit, 2005, Trends in the incidence of venous thrombolism during pregnancy or postpartum a 30-year population based study, Ann Intern Med, 143, 697, 10.7326/0003-4819-143-10-200511150-00006 Matthews, 2006, Short communication: imaging pulmonary embolism in pregnancy: what is the most appropriate imaging protocol?, Br J Radiol, 79, 441, 10.1259/bjr/15144573 Horlander, 2003, Pulmonary embolism mortality in the United States, 1979–1998: an analysis using multiple-cause mortality data, Arch Intern Med, 163, 1711, 10.1001/archinte.163.14.1711 Pabinger, 2002, Thrombosis during pregnancy: risk factors, diagnosis and treatment, Pathophysiol Haemost Thromb, 32, 322, 10.1159/000073590 Carson, 1992, The clinical course of pulmonary embolism, N Engl J Med, 326, 1240, 10.1056/NEJM199205073261902 Bourjeily, 2010, Pulmonary embolism in pregnancy, Lancet, 375, 500, 10.1016/S0140-6736(09)60996-X Fatima, 2011, Pulmonary embolism in pregnancy: a diagnostic dilemma, Ann Nucl Med, 25, 603, 10.1007/s12149-011-0515-x Pahade, 2009, Quality initiatives: imaging pregnant patients with suspected pulmonary embolism: what the radiologist needs to know, Radiographics, 29, 639, 10.1148/rg.293085226 Aird, 2007, Vascular bed-specific thrombosis, J Thromb Haemost, 5, 283, 10.1111/j.1538-7836.2007.02515.x Macklon, 1997, An ultrasound study of gestational and postural changes in the deep venous system of the leg in pregnancy, Br J Obstet Gynaecol, 104, 191, 10.1111/j.1471-0528.1997.tb11043.x Walker, 1998, Thrombosis in pregnancy: a review, J Soc Obstet Gynaecol Can, 20, 943 Chan, 2002, Suspected pulmonary embolism in pregnancy: clinical presentation, results of lung scanning, and subsequent maternal an pediatric outcomes, Arch Intern Med, 162, 1170, 10.1001/archinte.162.10.1170 Cahill, 2009, Diagnosing pulmonary embolism in pregnancy using computed-tomographic angiography or ventilation-perfusion, Obstet Gynecol, 114, 124, 10.1097/AOG.0b013e3181a99def Ferreira dos Santos, 2012, Pregnancy and acute pulmonary embolism: a case report, Rev Port Cardiol, 31, 389, 10.1016/j.repc.2011.11.007 Duran-Mendicuti, 2011, Imaging evaluation of the pregnant patient with suspected pulmonary embolism, Int J Obstet Anesth, 20, 51, 10.1016/j.ijoa.2010.07.018 Wells, 2001, Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to emergency department by using a simple clinical model and d-dimer, Ann Intern Med, 135, 98, 10.7326/0003-4819-135-2-200107170-00010 Le Gal, 2006, Prediction of pulmonary embolism in the emergency department; the revised Geneva score, Ann Intern Med, 144, 165, 10.7326/0003-4819-144-3-200602070-00004 Revel, 2011, Pulmonary embolism during pregnancy: diagnosis with lung scintigraphy or CT angiography?, Radiology, 258, 590, 10.1148/radiol.10100986 Pahade, 2009, Quality initiatives: imaging pregnant patients with suspected pulmonary embolism – what the radiologist needs to know, Radiographics, 29, 639, 10.1148/rg.293085226 Parent, 2008, Embolie pulmonaire et grossesse, Prat Anesth Reanim, 12, 92 Rodger, 2000, Diagnostic value of the electrocardiogram in suspected pulmonary embolism, Am J Cardiol, 86, 807, 10.1016/S0002-9149(00)01090-0 Rodger, 2000, Diagnostic value of arterial blood gas measurement in suspected pulmonary embolism, Am J Respir Crit Care Med, 162, 2105, 10.1164/ajrccm.162.6.2004204 Powrie, 1998, Alveolar-arterial oxygen gradient in acute pulmonary embolism in pregnancy, Am J Obstet Gynecol, 178, 394, 10.1016/S0002-9378(98)80031-8 Kline, 2005, D-dimer concentrations in normal pregnancy: new diagnostic thresholds are needed, Clin Chem, 51, 825, 10.1373/clinchem.2004.044883 Adam, 2009, D-dimer antigen: current concepts and future prospects, Blood, 113, 2878, 10.1182/blood-2008-06-165845 Kovac, 2010, 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, 27, 10.1016/j.ejogrb.2009.09.005 Levy, 2008, Reading between the (Guidelines). Management of submassive pulmonary embolism in the first trimester of pregnancy, Thromb Res, 121, 705, 10.1016/j.thromres.2007.07.001 To, 2008, A negative D-dimer does not exclude venous thromboembolism (VTE) in pregnancy, J Obstet Gynaecol, 28, 222, 10.1080/01443610801915975 Onishi, 2007, Fibrin monomer complex in normal pregnant women: a potential thrombotic marker in pregnancy, Ann Clin Biochem, 44, 449, 10.1258/000456307781646076 Kearon, 1998, Noninvasive diagnosis of deep venous thrombosis. McMaster Diagnostic Imaging Practice Guidelines Initiative, Ann Intern Med, 128, 663, 10.7326/0003-4819-128-8-199804150-00011 Turkstra, 1997, Diagnostic utility of ultrasonography of leg veins in patients suspected of having pulmonary embolism, Ann Intern Med, 126, 775, 10.7326/0003-4819-126-10-199705150-00005 Stein, 2006, Multidetector computed tomography for acute pulmonary embolism, N Engl J Med, 354, 2317, 10.1056/NEJMoa052367 Ghaye, 2006, Severe pulmonary embolism: pulmonary artery clot load scores and cardiovascular parameters as predictors of mortality, Radiology, 239, 884, 10.1148/radiol.2392050075 Schaefer-Prokop, 2008, CTPA for the diagnosis of acute pulmonary embolism during pregnancy, Eur Radiol, 18, 2705, 10.1007/s00330-008-1158-8 U-King-Im, 2008, Quality of CT pulmonary angiography for suspected pulmonary embolus in pregnancy, Eur Radiol, 18, 2709, 10.1007/s00330-008-1100-0 Ridge, 2009, Pulmonary embolism in pregnancy: comparison of pulmonary CT angiography and lung scintigraphy, AJR, 193, 1223, 10.2214/AJR.09.2360 Leblanc, 2010, V/Q SPECT and computed tomographic pulmonary angiography, Semin Nucl Med, 40, 426, 10.1053/j.semnuclmed.2010.08.001 Mortele, 2005, Universal use of nonionic iodinated contrast medium for CT: evaluation of safety in a large urban teaching hospital, Am J Roentgenol, 184, 31, 10.2214/ajr.184.1.01840031 Webb, 2005, The use of iodinated an gadolinium contrast media during pregnancy and lactation, Eur Radiol, 15, 1234, 10.1007/s00330-004-2583-y Siegmann, 2009, Diagnostic imaging during pregnancy, Dtsch Med Wochenschr, 134, 686, 10.1055/s-0029-1208106 Niemann, 2010, Imaging for suspected pulmonary embolism in pregnancy – what about the fetal dose? A comprehensive review of the literature, Insights Imaging, 1, 361, 10.1007/s13244-010-0043-6 Strong, 1989, The particle size distribution of technegas and its influence on regional lung deposition, Nucl Med Commun, 10, 425, 10.1097/00006231-198906000-00008 Sostman, 2008, Acute pulmonary embolism: sensitivity and specificity of ventilation-perfusion scintigraphy PIOPED II study, Radiology, 246, 941, 10.1148/radiol.2463070270 Pregnancy and medical radiation. ICRP 2000;30:1–43. Reid, 2009, Is the lung scan alive and well? Facts and controversies in defining the role of lung scintigraphy for the diagnosis of pulmonary embolism in the era of MDCT, Eur J Nucl Med Mol Imaging, 36, 505, 10.1007/s00259-008-1014-8 Scarsbrook, 2007, Perfusion scintigraphy: diagnostic utility in pregnant women with suspected pulmonary embolic disease, Eur Radiol, 17, 2554, 10.1007/s00330-007-0607-0 American Thoracic Society Documents, 2012, An official American Thoracic Society/Society of Thoracic Radiology clinical practice guideline – evaluation of suspected pulmonary embolism in pregnancy, Radiology, 262, 635, 10.1148/radiol.11114045 Scarsbrook, 2006, Diagnosis of suspected venous thromboembolic disease in pregnancy, Clin Radiol, 61, 1, 10.1016/j.crad.2005.08.015 Ezwawah, 2008, Pulmonary embolism in pregnancy: is nuclear medicine still a valid option?, Ir Med J, 101, 281 Reinartz, 2004, Tomographic imaging in the diagnosis of pulmonary embolism: a comparison between V/Q lung scintigraphy in SPECT technique and multislice spiral CT, J Nucl Med, 45, 1501 Patel, 2007, Imaging the pregnant patient for nonobstetric conditions: algorithms and radiation dose considerations, Radiographics, 27, 1705, 10.1148/rg.276075002 Schembri, 2010, Radiation dosimetry and safety issues in the investigation of pulmonary embolism, Semin Nucl Med, 40, 442, 10.1053/j.semnuclmed.2010.07.007 Nijkeuter, 2004, Diagnosing pulmonary embolism in pregnancy: rationalizing fetal radiation exposure in radiological procedures, J Thromb Haemost, 2, 1857, 10.1111/j.1538-7836.2004.00929.x Hurwitz, 2006, Radiation dose to the female breast from 16-MDCT body protocols, AJR Am J Roentgenol, 186, 1718, 10.2214/AJR.04.1917 Winer-Muram, 2002, Pulmonary embolism in pregnant patients: fetal radiation dose with helical CT, Radiology, 224, 487, 10.1148/radiol.2242011581 Huda, 2005, When a pregnant patient has a suspected pulmonary embolism, what are the typical embryo doses from a chest CT and a ventilation/perfusion study?, Pediatr, 35, 527 Doshi, 2008, Fetal radiation dose from CT pulmonary angiography in late pregnancy: a phantom study, Br J Radiol, 81, 653, 10.1259/bjr/22775594 Cook, 2005, Radiation from CT and perfusion scanning in pregnancy, BMJ, 331, 350, 10.1136/bmj.331.7512.350 ICRP, 2007, The 2007 recommendations of the International Commission on Radiological Protection. ICRP publication 103, Ann ICRP, 37, 1 ICRP, 1998, [133] Radiation dose to patients from radiopharmaceuticals (addenbum 2 to ICRP publication 53), Ann ICRP, 28, 1, 10.1016/S0146-6453(99)00006-8 Bajc, 2009, EANM guidelines for ventilation/perfusion scintigraphy: part 1, pulmonary imaging with ventilation/perfusion single photon emission tomography, Eur J Nucl Med Mol Imaging, 36, 1356, 10.1007/s00259-009-1170-5 Chunilal, 2009, Venous thrombo-embolism in pregnancy: diagnosis, management and prevention, Thromb Haemost, 101, 428, 10.1160/TH08-08-0526 Mettler, 2008, Effective doses in radiology and diagnostic nuclear medicine: a catalog, Radiology, 248, 254, 10.1148/radiol.2481071451 Stein, 2007, Diagnostic pathways in acute pulmonary embolism: recommendations of the PIOPED II investigators, Radiology, 242, 15, 10.1148/radiol.2421060971 Shahir, 2010, Pulmonary embolism in pregnancy: CT pulmonary angiography versus perfusion scanning, AJR Am J Roentgenol, 195, 214, 10.2214/AJR.09.3506 Sostam, 2008, Sensitivity and specificity of perfusion scintigraphy combined with chest radiography for acute pulmonary embolism in PIOPED II, J Nuc Med, 49, 1741, 10.2967/jnumed.108.052217 Chan, 2009, Diagnosis of venous thromboembolism in pregnancy: a study in extrapolation or a science in evolution?, Expert Rev Cardiovasc Ther, 7, 1479, 10.1586/erc.09.136 Forbes, 2001, Do preliminary chest X-ray findings define the optimum role of pulmonary scintigraphy in suspected pulmonary embolism?, Clin Radiol, 56, 397, 10.1053/crad.2000.0670 Gleeson, 2006, Improving the diagnostic performance on lung scintigraphy in suspected pulmonary embolic disease, Clin Radiol, 6, 1010, 10.1016/j.crad.2006.05.017 Cutts, 2013, New directions in the diagnosis and treatment of pulmonary embolism in pregnancy, Am J Obstet Gynecol, 208, 102, 10.1016/j.ajog.2012.06.035