Pulmonary embolism and pregnancy: challenges in diagnostic and therapeutic decisions in high-risk patients
Diagnosis of acute PE in pregnant women with haemodynamic instability is following the general integrated risk-adapted diagnostic algorithm and starts with bedside echocardiography to assess RV function. If RV dysfunction is identified, a prompt and immediate reperfusion without further imaging shou...
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| Main Authors: | , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
08 March 2022
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| In: |
Frontiers in Cardiovascular Medicine
Year: 2022, Volume: 9, Pages: 1-8 |
| ISSN: | 2297-055X |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://www.frontiersin.org/article/10.3389/fcvm.2022.856594
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| Author Notes: | Lukas Hobohm, Ioannis T. Farmakis, Thomas Münzel, Stavros Konstantinides and Karsten Keller |
| Summary: | Diagnosis of acute PE in pregnant women with haemodynamic instability is following the general integrated risk-adapted diagnostic algorithm and starts with bedside echocardiography to assess RV function. If RV dysfunction is identified, a prompt and immediate reperfusion without further imaging should be initiated. Although pregnancy is listed as a relative contraindication of systemic thrombolysis, in pregnant women with acute PE and haemodynamic instability thrombolysis must be considered. In those cases, other treatment strategies as surgical embolectomy or catheter-directed low-dose thromboylysis or percutaneous thrombectomy should be taken into consideration as well. A multidisciplinary team with experience of PE management in pregnancy should be consulted to reach consensus on the best treatment approach. |
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| Item Description: | Gesehen am 13.05.2022 |
| Physical Description: | Online Resource |
| ISSN: | 2297-055X |