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<article article-type="editorial" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">pulmo</journal-id><journal-title-group><journal-title xml:lang="ru">Пульмонология</journal-title><trans-title-group xml:lang="en"><trans-title>PULMONOLOGIYA</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0869-0189</issn><issn pub-type="epub">2541-9617</issn><publisher><publisher-name>Scientific and Practical Journal “PULMONOLOGIYA” LLC</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">pulmo-32</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Алгоритм диагностики тромбоэмболии легочной артерии у беременных: клинические рекомендации Американского торакального общества / Общества торакальной радиологии</article-title><trans-title-group xml:lang="en"><trans-title>Diagnostic algorithm for pulmonary embolism in pregnant women (based on practice guidelines of the American Thoracic Society and the Society of Thoracic Radiology)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Редакционная</surname><given-names>статья</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>28</day><month>04</month><year>2012</year></pub-date><volume>0</volume><issue>2</issue><fpage>13</fpage><lpage>24</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Редакционная с., 2012</copyright-statement><copyright-year>2012</copyright-year><copyright-holder xml:lang="ru">Редакционная с.</copyright-holder><copyright-holder xml:lang="en">Редакционная с.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.pulmonology.ru/pulm/article/view/32">https://journal.pulmonology.ru/pulm/article/view/32</self-uri><abstract><p>По материалам: Leung A.N., Bull T.M., Jaeschke R. et al. An Official American Thoracic Society / Society of Thoracic Radiology Clinical Practice Guideline: Evaluation of suspected pulmonary embolism in pregnancy. Am. J. Respir. Crit. Care Med. 2011; 184: 1200–1208.</p></abstract><trans-abstract xml:lang="en"/><kwd-group xml:lang="ru"><kwd>тромбоэмболия легочной артерии</kwd><kwd>беременность</kwd><kwd>диагностический алгоритм</kwd><kwd>рекомендации</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pulmonary embolism</kwd><kwd>pregnancy</kwd><kwd>diagnostic algorithm</kwd><kwd>practice guidelines</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Centers for Disease Control and Prevention. Pregnancyrelated mortality surveillance–United States, 1991–1999. Morbid. Mortal. Wkly Rep. 2003; 52: 1–8.</mixed-citation><mixed-citation xml:lang="en">Centers for Disease Control and Prevention. Pregnancyrelated mortality surveillance–United States, 1991–1999. Morbid. Mortal. Wkly Rep. 2003; 52: 1–8.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Marik P.E., Plante L.A. Venous thromboembolic disease and pregnancy. N. Engl. J. Med. 2008; 359: 2025–2033.</mixed-citation><mixed-citation xml:lang="en">Marik P.E., Plante L.A. Venous thromboembolic disease and pregnancy. N. Engl. J. Med. 2008; 359: 2025–2033.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Royal College of Obstetricians and Gynaecologists. Greentop Guideline № 28: Thromboembolic disease in pregnancy and the puerperium: Acute management. 2007 [accessed Oct. 4, 2011]. Available from: www.rcog.org.uk / guidelines</mixed-citation><mixed-citation xml:lang="en">Royal College of Obstetricians and Gynaecologists. Greentop Guideline № 28: Thromboembolic disease in pregnancy and the puerperium: Acute management. 2007 [accessed Oct. 4, 2011]. Available from: www.rcog.org.uk / guidelines</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Stein P.D., Woodard P.K., Weg J.G. et al. Diagnostic pathways in acute pulmonary embolism: recommendations of the PIOPED II Investigators. Radiology 2007; 242: 15–21.</mixed-citation><mixed-citation xml:lang="en">Stein P.D., Woodard P.K., Weg J.G. et al. Diagnostic pathways in acute pulmonary embolism: recommendations of the PIOPED II Investigators. Radiology 2007; 242: 15–21.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Schuster M.E., Fishman J.E., Copeland J.F. et al. Pulmonary embolism in pregnant patients: a survey of practices and policies for CT pulmonary angiography. Am. J. Roentgenol. 2003; 181: 1495–1498.</mixed-citation><mixed-citation xml:lang="en">Schuster M.E., Fishman J.E., Copeland J.F. et al. Pulmonary embolism in pregnant patients: a survey of practices and policies for CT pulmonary angiography. Am. J. Roentgenol. 2003; 181: 1495–1498.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Bourjeily G., Paidas M., Khalil H. et al. Pulmonary embolism in pregnancy. Lancet 2010; 375: 500–512.</mixed-citation><mixed-citation xml:lang="en">Bourjeily G., Paidas M., Khalil H. et al. Pulmonary embolism in pregnancy. Lancet 2010; 375: 500–512.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Schunemann H.J., Jaeschke R., Cook D.J. et al. An official ATS statement: grading the quality of evidence and strength of recommendations in ATS guidelines and recommendations. Am. J. Respir. Crit. Care Med. 2006; 174: 605–614.</mixed-citation><mixed-citation xml:lang="en">Schunemann H.J., Jaeschke R., Cook D.J. et al. An official ATS statement: grading the quality of evidence and strength of recommendations in ATS guidelines and recommendations. Am. J. Respir. Crit. Care Med. 2006; 174: 605–614.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Chan W.S., Ray J.G., Murray S. et al. Suspected pulmonary embolism in pregnancy: clinical presentation, results of lung scanning, and subsequent maternal and pediatric outcomes. Arch. Intern. Med. 2002; 162: 1170–1175.</mixed-citation><mixed-citation xml:lang="en">Chan W.S., Ray J.G., Murray S. et al. Suspected pulmonary embolism in pregnancy: clinical presentation, results of lung scanning, and subsequent maternal and pediatric outcomes. Arch. Intern. Med. 2002; 162: 1170–1175.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Cahill A.G., Stout M.J., Macones G.A., Bhalla S. Diagnosing pulmonary embolism in pregnancy using computed-tomographic angiography or ventilation-perfusion. Obstetr. And Gynecol. 2009; 114: 124–129.</mixed-citation><mixed-citation xml:lang="en">Cahill A.G., Stout M.J., Macones G.A., Bhalla S. Diagnosing pulmonary embolism in pregnancy using computed-tomographic angiography or ventilation-perfusion. Obstetr. And Gynecol. 2009; 114: 124–129.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Gherman R.B., Goodwin T.M., Leung B. et al. Incidence, clinical characteristics, and timing of objectively diagnosed venous thromboembolism during pregnancy. Obstetr. And Gynecol. 1999; 94: 730–734.</mixed-citation><mixed-citation xml:lang="en">Gherman R.B., Goodwin T.M., Leung B. et al. Incidence, clinical characteristics, and timing of objectively diagnosed venous thromboembolism during pregnancy. Obstetr. And Gynecol. 1999; 94: 730–734.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Powrie R.O., Larson L., Rosene*Montella K. et al. Alveolararterial oxygen gradient in acute pulmonary embolism in pregnancy. Am. J. Obstetr. Gynecol. 1998; 178: 394–396.</mixed-citation><mixed-citation xml:lang="en">Powrie R.O., Larson L., Rosene*Montella K. et al. Alveolararterial oxygen gradient in acute pulmonary embolism in pregnancy. Am. J. Obstetr. Gynecol. 1998; 178: 394–396.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Heit J.A., Kobbervig C.E., James A.H. et al. Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study. Ann. Intern. Med. 2005; 143: 697–706.</mixed-citation><mixed-citation xml:lang="en">Heit J.A., Kobbervig C.E., James A.H. et al. Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study. Ann. Intern. Med. 2005; 143: 697–706.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Damodaram M., Kaladindi M., Luckit J., Yoong W. D-dimers as a screening test for venous thromboembolism in pregnancy: is it of any use? J. Obstetr. Gynaecol.2009; 29: 101–103.</mixed-citation><mixed-citation xml:lang="en">Damodaram M., Kaladindi M., Luckit J., Yoong W. D-dimers as a screening test for venous thromboembolism in pregnancy: is it of any use? J. Obstetr. Gynaecol.2009; 29: 101–103.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Levy M.S., Spencer F., Ginsberg J.S., Anderson J.A. Reading between the (Guidelines). Management of submassive pulmonary embolism in the first trimester of pregnancy. Thromb. Res. 2008; 121: 705–707.</mixed-citation><mixed-citation xml:lang="en">Levy M.S., Spencer F., Ginsberg J.S., Anderson J.A. Reading between the (Guidelines). Management of submassive pulmonary embolism in the first trimester of pregnancy. Thromb. Res. 2008; 121: 705–707.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">To M.S., Hunt B.J., Nelson*Piercy C. A negative D-dimer does not exclude venous thromboembolism (VTE) in pregnancy. J. Obstetr. Gynaecol. 2008; 28: 222–223.</mixed-citation><mixed-citation xml:lang="en">To M.S., Hunt B.J., Nelson*Piercy C. A negative D-dimer does not exclude venous thromboembolism (VTE) in pregnancy. J. Obstetr. Gynaecol. 2008; 28: 222–223.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Chan W.S., Lee A., Spencer F.A. et al. D-dimer testing in pregnant patients: towards determining the next ’level’ in the diagnosis of deep vein thrombosis. J. Thromb. Haemost. 2010; 8: 1004–1011.</mixed-citation><mixed-citation xml:lang="en">Chan W.S., Lee A., Spencer F.A. et al. D-dimer testing in pregnant patients: towards determining the next ’level’ in the diagnosis of deep vein thrombosis. J. Thromb. Haemost. 2010; 8: 1004–1011.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Kovac M., Mikovic Z., Rakicevic L. et al. The use of D-dimer with new cutoff can be useful in diagnosis of venous thromboembolism in pregnancy. Eur. J. Obstetr. Gynecol. Reprod. Biol. 2010; 148: 27–30.</mixed-citation><mixed-citation xml:lang="en">Kovac M., Mikovic Z., Rakicevic L. et al. The use of D-dimer with new cutoff can be useful in diagnosis of venous thromboembolism in pregnancy. Eur. J. Obstetr. Gynecol. Reprod. Biol. 2010; 148: 27–30.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Chan W.S., Chunilal S., Lee A. et al. A red blood cell agglutination D-dimer test to exclude deep venous thrombosis in pregnancy. Ann. Intern. Med. 2007; 147: 165–170.</mixed-citation><mixed-citation xml:lang="en">Chan W.S., Chunilal S., Lee A. et al. A red blood cell agglutination D-dimer test to exclude deep venous thrombosis in pregnancy. Ann. Intern. Med. 2007; 147: 165–170.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Ahmad A., Jamjute P., Ghosh T., Klazinga D. D-dimer negative deep vein thrombosis in puerperium. Eur. Clin. Obstetr. Gynaecol. 2008; 3: 131–134.</mixed-citation><mixed-citation xml:lang="en">Ahmad A., Jamjute P., Ghosh T., Klazinga D. D-dimer negative deep vein thrombosis in puerperium. Eur. Clin. Obstetr. Gynaecol. 2008; 3: 131–134.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">International Commission of Radiological Protection. Pregnancy and medical radiation: Publication 84. Ann. ICRP 2000; 30: 1–44.</mixed-citation><mixed-citation xml:lang="en">International Commission of Radiological Protection. Pregnancy and medical radiation: Publication 84. Ann. ICRP 2000; 30: 1–44.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">McCollough C.H., Schueler B.A., Atwell T.D. et al. Radiation exposure and pregnancy: when should we be concerned? Radiographics 2007; 27: 909–917; discuss. 917–908.</mixed-citation><mixed-citation xml:lang="en">McCollough C.H., Schueler B.A., Atwell T.D. et al. Radiation exposure and pregnancy: when should we be concerned? Radiographics 2007; 27: 909–917; discuss. 917–908.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Linet M.S., Kim K.P., Rajaraman P. Children’s exposure to diagnostic Medical radiation and cancer risk: epidemiologic and dosimetric considerations. Pediatr. Radiol. 2009; 39: S4–S26.</mixed-citation><mixed-citation xml:lang="en">Linet M.S., Kim K.P., Rajaraman P. Children’s exposure to diagnostic Medical radiation and cancer risk: epidemiologic and dosimetric considerations. Pediatr. Radiol. 2009; 39: S4–S26.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation NRC. Health risks from exposure to low levels of ionizing radiation: BEIR VII – Phase 2. Washington: National Academy Press; 2006.</mixed-citation><mixed-citation xml:lang="en">Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation NRC. Health risks from exposure to low levels of ionizing radiation: BEIR VII – Phase 2. Washington: National Academy Press; 2006.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Bourjeily G., Chalhoub M., Phornphutkul C. et al. Neonatal thyroid function: effect of a single exposure to iodinated contrast medium in utero. Radiology 2010; 256: 744–750.</mixed-citation><mixed-citation xml:lang="en">Bourjeily G., Chalhoub M., Phornphutkul C. et al. Neonatal thyroid function: effect of a single exposure to iodinated contrast medium in utero. Radiology 2010; 256: 744–750.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Food and Drug Administration. Content and format of labeling for human prescription drug and biological products; requirements for pregnancy and lactation labeling. Fed. Registr. 2008; 29: 30831–30868.</mixed-citation><mixed-citation xml:lang="en">Food and Drug Administration. Content and format of labeling for human prescription drug and biological products; requirements for pregnancy and lactation labeling. Fed. Registr. 2008; 29: 30831–30868.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Lin S.P., Brown J.J. MR contrast agents: physical and pharmacologic basics. J. Magn. Reson. Imag. 2007; 25: 884–899.</mixed-citation><mixed-citation xml:lang="en">Lin S.P., Brown J.J. MR contrast agents: physical and pharmacologic basics. J. Magn. Reson. Imag. 2007; 25: 884–899.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Webb J.A., Thomsen H.S., Morcos S.K. The use of iodinated and gadolinium contrast Med.ia during pregnancy and lactation. Eur. Radiol. 2005; 15: 1234–1240.</mixed-citation><mixed-citation xml:lang="en">Webb J.A., Thomsen H.S., Morcos S.K. The use of iodinated and gadolinium contrast Med.ia during pregnancy and lactation. Eur. Radiol. 2005; 15: 1234–1240.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Worsley D.F., Alavi A., Aronchick J.M. et al. Chest radiographic findings in patients with acute pulmonary embolism: observations from the PIOPED Study. Radiology 1993; 189: 133–136.</mixed-citation><mixed-citation xml:lang="en">Worsley D.F., Alavi A., Aronchick J.M. et al. Chest radiographic findings in patients with acute pulmonary embolism: observations from the PIOPED Study. Radiology 1993; 189: 133–136.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Greenspan R.H., Ravin C.E., Polansky S.M., McLoud T.C. Accuracy of the chest radiograph in diagnosis of pulmonary embolism. Invest. Radiol. 1982; 17: 539–543.</mixed-citation><mixed-citation xml:lang="en">Greenspan R.H., Ravin C.E., Polansky S.M., McLoud T.C. Accuracy of the chest radiograph in diagnosis of pulmonary embolism. Invest. Radiol. 1982; 17: 539–543.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Gottschalk A., Stein P.D., Goodman L.R., Sostman H.D. Overview of prospective investigation of pulmonary embolism diagnosis II. Semin. Nucl. Med. 2002; 32: 173–182.</mixed-citation><mixed-citation xml:lang="en">Gottschalk A., Stein P.D., Goodman L.R., Sostman H.D. Overview of prospective investigation of pulmonary embolism diagnosis II. Semin. Nucl. Med. 2002; 32: 173–182.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Daftary A., Gregory M., Seibyl J.P., Saluja S. Chest radiograph as a triage tool in the imaging-based diagnosis of pulmonary embolism. Am. J. Roentgenol. 2005; 185: 132–134.</mixed-citation><mixed-citation xml:lang="en">Daftary A., Gregory M., Seibyl J.P., Saluja S. Chest radiograph as a triage tool in the imaging-based diagnosis of pulmonary embolism. Am. J. Roentgenol. 2005; 185: 132–134.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Forbes K.P., Reid J.H., Murchison J.T. Do preliminary chest X-ray findings define the optimum role of pulmonary scintigraphy in suspected pulmonary embolism? Clin. Radiol. 2001; 56: 397–400.</mixed-citation><mixed-citation xml:lang="en">Forbes K.P., Reid J.H., Murchison J.T. Do preliminary chest X-ray findings define the optimum role of pulmonary scintigraphy in suspected pulmonary embolism? Clin. Radiol. 2001; 56: 397–400.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Scarsbrook A.F., Bradley K.M., Gleeson F.V. Perfusion scintigraphy: diagnostic utility in pregnant women with suspected pulmonary embolic disease. Eur. Radiol. 2007; 17: 2554–2560.</mixed-citation><mixed-citation xml:lang="en">Scarsbrook A.F., Bradley K.M., Gleeson F.V. Perfusion scintigraphy: diagnostic utility in pregnant women with suspected pulmonary embolic disease. Eur. Radiol. 2007; 17: 2554–2560.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Ridge C.A., McDermott S., Freyne B.J. et al. Pulmonary embolism in pregnancy: comparison of pulmonary CT angiography and lung scintigraphy. Am. J. Roentgenol. 2009; 193: 1223–1227.</mixed-citation><mixed-citation xml:lang="en">Ridge C.A., McDermott S., Freyne B.J. et al. Pulmonary embolism in pregnancy: comparison of pulmonary CT angiography and lung scintigraphy. Am. J. Roentgenol. 2009; 193: 1223–1227.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Righini M., Le Gal G., Aujesky D. et al. Diagnosis of pulmonary embolism by multidetector CT alone or combined with venous ultrasonography of the leg: a randomised noninferiority trial. Lancet 2008; 371: 1343–1352.</mixed-citation><mixed-citation xml:lang="en">Righini M., Le Gal G., Aujesky D. et al. Diagnosis of pulmonary embolism by multidetector CT alone or combined with venous ultrasonography of the leg: a randomised noninferiority trial. Lancet 2008; 371: 1343–1352.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">van Rossum A.B., van Houwelingen H.C., Kieft G.J., Patty* nama P.M. Prevalence of deep vein thrombosis in suspected and proven pulmonary embolism: a meta-analysis. Br. J. Radiol. 1998; 71: 1260–1265.</mixed-citation><mixed-citation xml:lang="en">van Rossum A.B., van Houwelingen H.C., Kieft G.J., Patty* nama P.M. Prevalence of deep vein thrombosis in suspected and proven pulmonary embolism: a meta-analysis. Br. J. Radiol. 1998; 71: 1260–1265.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Chan W.S., Lee A., Spencer F.A. et al. Predicting deep venous thrombosis in pregnancy: out in “LEFt” field? Ann. Intern. Med. 2009; 151: 85–92.</mixed-citation><mixed-citation xml:lang="en">Chan W.S., Lee A., Spencer F.A. et al. Predicting deep venous thrombosis in pregnancy: out in “LEFt” field? Ann. Intern. Med. 2009; 151: 85–92.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Parker J.A., Coleman R.E., Siegel B.A. et al. Procedure guideline for lung scintigraphy: 1.0. Society of Nuclear Medicine. J. Nucl. Med. 1996; 37: 1906–1910.</mixed-citation><mixed-citation xml:lang="en">Parker J.A., Coleman R.E., Siegel B.A. et al. Procedure guideline for lung scintigraphy: 1.0. Society of Nuclear Medicine. J. Nucl. Med. 1996; 37: 1906–1910.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Shahir K., Goodman L.R., Tali A. et al. Pulmonary embolism in pregnancy: CT pulmonary angiography versus perfusion scanning. Am. J. Roentgenol. 2010; 195: W214– W220.</mixed-citation><mixed-citation xml:lang="en">Shahir K., Goodman L.R., Tali A. et al. Pulmonary embolism in pregnancy: CT pulmonary angiography versus perfusion scanning. Am. J. Roentgenol. 2010; 195: W214– W220.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Revel M.P., Cohen S., Sanchez O. et al. Pulmonary embolism during pregnancy: diagnosis with lung scintigraphy or CT angiography? Radiology 2011; 258: 590–598.</mixed-citation><mixed-citation xml:lang="en">Revel M.P., Cohen S., Sanchez O. et al. Pulmonary embolism during pregnancy: diagnosis with lung scintigraphy or CT angiography? Radiology 2011; 258: 590–598.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">King U., Im J.M., Freeman S.J. et al. Quality of CT pulmonary angiography for suspected pulmonary embolus in pregnancy. Eur. Radiol. 2008; 18: 2709–2715.</mixed-citation><mixed-citation xml:lang="en">King U., Im J.M., Freeman S.J. et al. Quality of CT pulmonary angiography for suspected pulmonary embolus in pregnancy. Eur. Radiol. 2008; 18: 2709–2715.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Litmanovich D., Boiselle P.M., Bankier A.A. et al. Dose reduction in computed tomographic angiography of pregnant patients with suspected acute pulmonary embolism. J. Comput. Assist. Tomogr. 2009; 33: 961–966.</mixed-citation><mixed-citation xml:lang="en">Litmanovich D., Boiselle P.M., Bankier A.A. et al. Dose reduction in computed tomographic angiography of pregnant patients with suspected acute pulmonary embolism. J. Comput. Assist. Tomogr. 2009; 33: 961–966.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Kluge A., Luboldt W., Bachmann G. Acute pulmonary embolism to the subsegmental level: diagnostic accuracy of three MRI techniques compared with 16-MDCT. AJR Am. J. Roentgenol. 2006; 187: W7–14.</mixed-citation><mixed-citation xml:lang="en">Kluge A., Luboldt W., Bachmann G. Acute pulmonary embolism to the subsegmental level: diagnostic accuracy of three MRI techniques compared with 16-MDCT. AJR Am. J. Roentgenol. 2006; 187: W7–14.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Chen M.M., Coakley F.V., Kaimal A., Laros R.K.Jr. Guidelines for computed tomography and magnetic resonance imaging use during pregnancy and lactation. Obstetr. and Gynecol. 2008; 112: 333–340.</mixed-citation><mixed-citation xml:lang="en">Chen M.M., Coakley F.V., Kaimal A., Laros R.K.Jr. Guidelines for computed tomography and magnetic resonance imaging use during pregnancy and lactation. Obstetr. and Gynecol. 2008; 112: 333–340.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Meaney J.F., Weg J.G., Chenevert T.L. et al. Diagnosis of pulmonary embolism with magnetic resonance angiography. N. Engl. J. Med. 1997; 336: 1422–1427.</mixed-citation><mixed-citation xml:lang="en">Meaney J.F., Weg J.G., Chenevert T.L. et al. Diagnosis of pulmonary embolism with magnetic resonance angiography. N. Engl. J. Med. 1997; 336: 1422–1427.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Gupta A., Frazer C.K., Ferguson J.M. et al. Acute pulmonary embolism: diagnosis with MR angiography. Radiology 1999; 210: 353–359.</mixed-citation><mixed-citation xml:lang="en">Gupta A., Frazer C.K., Ferguson J.M. et al. Acute pulmonary embolism: diagnosis with MR angiography. Radiology 1999; 210: 353–359.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Oudkerk M., van Beek E.J., Wielopolski P. et al. Comparison of contrastenhanced magnetic resonance angiography and conventional pulmonary angiography for the diagnosis of pulmonary embolism: a prospective study. Lancet 2002; 359: 1643–1647.</mixed-citation><mixed-citation xml:lang="en">Oudkerk M., van Beek E.J., Wielopolski P. et al. Comparison of contrastenhanced magnetic resonance angiography and conventional pulmonary angiography for the diagnosis of pulmonary embolism: a prospective study. Lancet 2002; 359: 1643–1647.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Ohno Y., Higashino T., Takenaka D. et al. MR angiography with sensitivity encoding (SENSE) for suspected pulmonary embolism: comparison with MDCT and ventilation-perfusion scintigraphy. Am. J. Roentgenol. 2004; 183: 91–98.</mixed-citation><mixed-citation xml:lang="en">Ohno Y., Higashino T., Takenaka D. et al. MR angiography with sensitivity encoding (SENSE) for suspected pulmonary embolism: comparison with MDCT and ventilation-perfusion scintigraphy. Am. J. Roentgenol. 2004; 183: 91–98.</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Pleszewski B., Chartrand*Lefebvre C., Qanadli S.D. et al. Gadolinium-enhanced pulmonary magnetic resonance angiography in the diagnosis of acute pulmonary embolism: a prospective study on 48 patients. Clin. Imag. 2006; 30: 166–172.</mixed-citation><mixed-citation xml:lang="en">Pleszewski B., Chartrand*Lefebvre C., Qanadli S.D. et al. Gadolinium-enhanced pulmonary magnetic resonance angiography in the diagnosis of acute pulmonary embolism: a prospective study on 48 patients. Clin. Imag. 2006; 30: 166–172.</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Stein P.D., Chenevert T.L., Fowler S.E. et al. Gadoliniumenhanced magnetic resonance angiography for pulmonary embolism: a multicenter prospective study (PIOPED III). Ann. Intern. Med. 2010; 152: 434–443.</mixed-citation><mixed-citation xml:lang="en">Stein P.D., Chenevert T.L., Fowler S.E. et al. Gadoliniumenhanced magnetic resonance angiography for pulmonary embolism: a multicenter prospective study (PIOPED III). Ann. Intern. Med. 2010; 152: 434–443.</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">van Rooij W.J., den Heeten G.J., Sluzewski M. Pulmonary embolism: diagnosis in 211 patients with use of selective pulmonary digital subtraction angiography with a flowdirected catheter. Radiology 1995; 195: 793–797.</mixed-citation><mixed-citation xml:lang="en">van Rooij W.J., den Heeten G.J., Sluzewski M. Pulmonary embolism: diagnosis in 211 patients with use of selective pulmonary digital subtraction angiography with a flowdirected catheter. Radiology 1995; 195: 793–797.</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Forauer A.R., McLean G.K., Wallace L.P. Clinical follow-up of patients after a negative digital subtraction pulmonary arteriogram in the evaluation of pulmonary embolism. J. Vasc. Interv. Radiol. 1998; 9: 903–908.</mixed-citation><mixed-citation xml:lang="en">Forauer A.R., McLean G.K., Wallace L.P. Clinical follow-up of patients after a negative digital subtraction pulmonary arteriogram in the evaluation of pulmonary embolism. J. Vasc. Interv. Radiol. 1998; 9: 903–908.</mixed-citation></citation-alternatives></ref><ref id="cit53"><label>53</label><citation-alternatives><mixed-citation xml:lang="ru">Henry J.W., Relyea B., Stein P.D. Continuing risk of thromboemboli among patients with normal pulmonary angiograms. Chest 1995; 107: 1375–1378.</mixed-citation><mixed-citation xml:lang="en">Henry J.W., Relyea B., Stein P.D. Continuing risk of thromboemboli among patients with normal pulmonary angiograms. Chest 1995; 107: 1375–1378.</mixed-citation></citation-alternatives></ref><ref id="cit54"><label>54</label><citation-alternatives><mixed-citation xml:lang="ru">Wittram C., Waltman A.C., Shepard J.A. et al. Discordance between CT and angiography in the PIOPED II study. Radiology 2007; 244: 883–889.</mixed-citation><mixed-citation xml:lang="en">Wittram C., Waltman A.C., Shepard J.A. et al. Discordance between CT and angiography in the PIOPED II study. Radiology 2007; 244: 883–889.</mixed-citation></citation-alternatives></ref><ref id="cit55"><label>55</label><citation-alternatives><mixed-citation xml:lang="ru">Hurwitz L.M., Yoshizumi T., Reiman R.E. et al. Radiation dose to the fetus from body MDCT during early gestation. Am. J. Roentgenol. 2006; 186: 871–876.</mixed-citation><mixed-citation xml:lang="en">Hurwitz L.M., Yoshizumi T., Reiman R.E. et al. Radiation dose to the fetus from body MDCT during early gestation. Am. J. Roentgenol. 2006; 186: 871–876.</mixed-citation></citation-alternatives></ref><ref id="cit56"><label>56</label><citation-alternatives><mixed-citation xml:lang="ru">Winer*Muram H.T., Boone J.M., Brown H.L. et al. Pulmonary embolism in pregnant patients: fetal radiation dose with helical CT. Radiology 2002; 224: 487–492.</mixed-citation><mixed-citation xml:lang="en">Winer*Muram H.T., Boone J.M., Brown H.L. et al. Pulmonary embolism in pregnant patients: fetal radiation dose with helical CT. Radiology 2002; 224: 487–492.</mixed-citation></citation-alternatives></ref><ref id="cit57"><label>57</label><citation-alternatives><mixed-citation xml:lang="ru">Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation NRC. Health risks from exposure to low levels of ionizing radiation: BEIR VII – Phase 2. National Academy of Sciences; 2006.</mixed-citation><mixed-citation xml:lang="en">Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation NRC. Health risks from exposure to low levels of ionizing radiation: BEIR VII – Phase 2. National Academy of Sciences; 2006.</mixed-citation></citation-alternatives></ref><ref id="cit58"><label>58</label><citation-alternatives><mixed-citation xml:lang="ru">Parker M.S., Hui F.K., Camacho M.A. et al. Female breast radiation exposure during CT pulmonary angiography. Am. J. Roentgenol. 2005; 185: 1228–1233.</mixed-citation><mixed-citation xml:lang="en">Parker M.S., Hui F.K., Camacho M.A. et al. Female breast radiation exposure during CT pulmonary angiography. Am. J. Roentgenol. 2005; 185: 1228–1233.</mixed-citation></citation-alternatives></ref><ref id="cit59"><label>59</label><citation-alternatives><mixed-citation xml:lang="ru">Cook J.V., Kyriou J. Radiation from CT and perfusion scanning in pregnancy. Br. Med. J. 2005; 331: 350.</mixed-citation><mixed-citation xml:lang="en">Cook J.V., Kyriou J. Radiation from CT and perfusion scanning in pregnancy. Br. Med. J. 2005; 331: 350.</mixed-citation></citation-alternatives></ref><ref id="cit60"><label>60</label><citation-alternatives><mixed-citation xml:lang="ru">Hurwitz L.M., Yoshizumi T.T., Reiman R.E. et al. Radiation dose to the female breast from 16-MDCT body protocols. Am. J. Roentgenol. 2006; 186: 1718–1722.</mixed-citation><mixed-citation xml:lang="en">Hurwitz L.M., Yoshizumi T.T., Reiman R.E. et al. Radiation dose to the female breast from 16-MDCT body protocols. Am. J. Roentgenol. 2006; 186: 1718–1722.</mixed-citation></citation-alternatives></ref><ref id="cit61"><label>61</label><citation-alternatives><mixed-citation xml:lang="ru">International Commission on Radiological Protection. Radiation dose to patients from radiopharmaceuticals: Publication 53. Ann. ICRP 1987; 18: 1–377.</mixed-citation><mixed-citation xml:lang="en">International Commission on Radiological Protection. Radiation dose to patients from radiopharmaceuticals: Publication 53. Ann. ICRP 1987; 18: 1–377.</mixed-citation></citation-alternatives></ref><ref id="cit62"><label>62</label><citation-alternatives><mixed-citation xml:lang="ru">International Commission on Radiological Protection. Radiation dose to patients from radiopharmaceuticals: Publication 80 (addendum 2 to ICRP publication 53). Ann. ICRP 1998; 28: 1–126.</mixed-citation><mixed-citation xml:lang="en">International Commission on Radiological Protection. Radiation dose to patients from radiopharmaceuticals: Publication 80 (addendum 2 to ICRP publication 53). Ann. ICRP 1998; 28: 1–126.</mixed-citation></citation-alternatives></ref><ref id="cit63"><label>63</label><citation-alternatives><mixed-citation xml:lang="ru">Hurwitz L.M., Reiman R.E., Yoshizumi T.T. et al. Radiation dose from contemporary cardiothoracic multidetector CT protocols with an anthropomorphic female phantom: implications for cancer induction. Radiology 2007; 245: 742–750.</mixed-citation><mixed-citation xml:lang="en">Hurwitz L.M., Reiman R.E., Yoshizumi T.T. et al. Radiation dose from contemporary cardiothoracic multidetector CT protocols with an anthropomorphic female phantom: implications for cancer induction. Radiology 2007; 245: 742–750.</mixed-citation></citation-alternatives></ref><ref id="cit64"><label>64</label><citation-alternatives><mixed-citation xml:lang="ru">Brenner D.J., Doll R., Goodhead D.T. et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc. Natl Acad. Sci. USA 2003; 100: 13761–13766.</mixed-citation><mixed-citation xml:lang="en">Brenner D.J., Doll R., Goodhead D.T. et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc. Natl Acad. Sci. USA 2003; 100: 13761–13766.</mixed-citation></citation-alternatives></ref><ref id="cit65"><label>65</label><citation-alternatives><mixed-citation xml:lang="ru">McCullough L.B., Chervenak F.A. Ethics in obstetrics and gynecology. New York: Oxford University Press; 1994.</mixed-citation><mixed-citation xml:lang="en">McCullough L.B., Chervenak F.A. Ethics in obstetrics and gynecology. New York: Oxford University Press; 1994.</mixed-citation></citation-alternatives></ref><ref id="cit66"><label>66</label><citation-alternatives><mixed-citation xml:lang="ru">Schaefer*Prokop C., Prokop M. CTPA for the diagnosis of acute pulmonary embolism during pregnancy. Eur. Radiol. 2008; 18: 2705–2708.</mixed-citation><mixed-citation xml:lang="en">Schaefer*Prokop C., Prokop M. CTPA for the diagnosis of acute pulmonary embolism during pregnancy. Eur. Radiol. 2008; 18: 2705–2708.</mixed-citation></citation-alternatives></ref><ref id="cit67"><label>67</label><citation-alternatives><mixed-citation xml:lang="ru">Kearon C., Kahn S.R., Agnelli G. et al. Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008; 133: 454S–545S.</mixed-citation><mixed-citation xml:lang="en">Kearon C., Kahn S.R., Agnelli G. et al. Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008; 133: 454S–545S.</mixed-citation></citation-alternatives></ref><ref id="cit68"><label>68</label><citation-alternatives><mixed-citation xml:lang="ru">Kline J.A., Hernandez*Nino J., Jones A.E. et al. Prospective study of the clinical features and outcomes of emergency department patients with delayed diagnosis of pulmonary embolism. Acad. Emerg. Med. 2007; 14: 592–598.</mixed-citation><mixed-citation xml:lang="en">Kline J.A., Hernandez*Nino J., Jones A.E. et al. Prospective study of the clinical features and outcomes of emergency department patients with delayed diagnosis of pulmonary embolism. Acad. Emerg. Med. 2007; 14: 592–598.</mixed-citation></citation-alternatives></ref><ref id="cit69"><label>69</label><citation-alternatives><mixed-citation xml:lang="ru">Smith S.B., Geske J.B., Maguire J.M. et al. Early anticoagulation is associated with reduced mortality for acute pulmonary embolism. Chest 2010; 137: 1382–1390.</mixed-citation><mixed-citation xml:lang="en">Smith S.B., Geske J.B., Maguire J.M. et al. Early anticoagulation is associated with reduced mortality for acute pulmonary embolism. Chest 2010; 137: 1382–1390.</mixed-citation></citation-alternatives></ref><ref id="cit70"><label>70</label><citation-alternatives><mixed-citation xml:lang="ru">Sostman H.D., Coleman R.E., DeLong D.M. et al. Evaluation of revised criteria for ventilation-perfusion scintigraphy in patients with suspected pulmonary embolism. Radiology 1994; 193: 103–107.</mixed-citation><mixed-citation xml:lang="en">Sostman H.D., Coleman R.E., DeLong D.M. et al. Evaluation of revised criteria for ventilation-perfusion scintigraphy in patients with suspected pulmonary embolism. Radiology 1994; 193: 103–107.</mixed-citation></citation-alternatives></ref><ref id="cit71"><label>71</label><citation-alternatives><mixed-citation xml:lang="ru">Sostman H.D., Miniati M., Gottschalk A. et al. Sensitivity and specificity of perfusion scintigraphy combined with chest radiography for acute pulmonary embolism in PIOPED II. J. Nucl. Med. 2008; 49: 1741–1748.</mixed-citation><mixed-citation xml:lang="en">Sostman H.D., Miniati M., Gottschalk A. et al. Sensitivity and specificity of perfusion scintigraphy combined with chest radiography for acute pulmonary embolism in PIOPED II. J. Nucl. Med. 2008; 49: 1741–1748.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
