Patrick M Colletti1, Kai H Lee, Uri Elkayam. 1. Department of Radiology, University of Southern California Keck School of Medicine, LAC+USC Medical Center, 1200 N State St, Los Angeles, CA 90033, USA. Colletti@usc.edu
Abstract
OBJECTIVE: The purpose of this review is to describe the selection and methods of imaging of pregnant women with cardiovascular conditions. CONCLUSION: Common cardiovascular conditions may occur in 1% of all pregnant women. The selection and methods of imaging studies require thoughtful planning. Use of radiation, radiopharmaceuticals, and contrast agents should be minimized. Pulmonary and cardiac CT angiography deliver minimal fetal radiation, and ventilation-perfusion scintigraphy presents relatively low fetal irradiation. Cardiac catheterization, coronary angiography, and electrophysiologic procedures, including complex interventions, also cause relatively low fetal exposure. Even nuclear cardiology procedures are unlikely to exceed negligible-risk (50 mGy cutoff) fetal radiation doses.
OBJECTIVE: The purpose of this review is to describe the selection and methods of imaging of pregnant women with cardiovascular conditions. CONCLUSION: Common cardiovascular conditions may occur in 1% of all pregnant women. The selection and methods of imaging studies require thoughtful planning. Use of radiation, radiopharmaceuticals, and contrast agents should be minimized. Pulmonary and cardiac CT angiography deliver minimal fetal radiation, and ventilation-perfusion scintigraphy presents relatively low fetal irradiation. Cardiac catheterization, coronary angiography, and electrophysiologic procedures, including complex interventions, also cause relatively low fetal exposure. Even nuclear cardiology procedures are unlikely to exceed negligible-risk (50 mGy cutoff) fetal radiation doses.
Authors: Sharonne N Hayes; Esther S H Kim; Jacqueline Saw; David Adlam; Cynthia Arslanian-Engoren; Katherine E Economy; Santhi K Ganesh; Rajiv Gulati; Mark E Lindsay; Jennifer H Mieres; Sahar Naderi; Svati Shah; David E Thaler; Marysia S Tweet; Malissa J Wood Journal: Circulation Date: 2018-02-22 Impact factor: 29.690
Authors: Marysia S Tweet; Jennifer Lewey; Nathaniel R Smilowitz; Carl H Rose; Patricia J M Best Journal: Circ Cardiovasc Interv Date: 2020-08-01 Impact factor: 6.546