Key result
Pregnancy-adapted YEARS algorithm and POCUS safely rule out PE to avoid unnecessary CTPA.
Why the study?
Although CTPA remains the gold standard for diagnosing PE, exposure to teratogenic factors should be avoided in pregnant women, leading to the development of the YEARS algorithm to determine the need for CTPA.
The YEARS algorithm may help determine the need for computed tomographic pulmonary angiography in pregnant women with suspected pulmonary embolism, potentially avoiding unnecessary teratogenic exposure.
May support reduced CTPA use via pregnancy-adapted YEARS and POCUS in suspected PE; leaves open need for prospective validation.
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Makuch et al. (2020) conducted a review in Pulmonary embolism during pregnancy. YEARS algorithm and point-of-care ultrasound vs. Computed tomographic pulmonary angiography (CTPA) was evaluated. The use of the pregnancy-adapted YEARS algorithm and point-of-care ultrasound can help safely rule out pulmonary embolism and avoid teratogenic computed tomographic pulmonary angiography in pregnant women.
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