Pediatric Pulmonary Embolism : Imaging Guidelines and Recommendations - 24/11/21

Doi : 10.1016/j.rcl.2021.08.005

Spencer G. Degerstedt, MD ^a, Abbey J. Winant, MD ^b, Edward Y. Lee, MD, MPH ^b,^⁎
^a Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA
^b Department of Radiology, Boston Children’s Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA

^∗Corresponding author.

Resumen

In contrast with the algorithms and screening criteria available for adults with suspected pulmonary embolism, there is a paucity of guidance on the diagnostic approach for children. The incidence of pulmonary embolism in the pediatric population and young adults is higher than thought, and there is an urgent need for updated guidelines for the imaging approach to diagnosis in the pediatric population. This article presents an up-to-date review of imaging techniques, characteristic radiologic findings, and an evidence-based algorithm for the detection of pediatric pulmonary embolism to improve the care of pediatric patients with suspected pulmonary embolism.

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Keywords : Pulmonary embolism (PE), Thrombosis, Radiography, Computed tomography pulmonary angiography (CTPA), Ventilation/perfusion (V/Q) scan, Angiography, Pediatric