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{
    "pk": 853,
    "title": "Alternative Diagnostic Strategy for the Assessment and Treatment of Pulmonary Embolus: A Case Series",
    "subtitle": null,
    "abstract": "Introduction:\n Ferumoxytol-enhanced magnetic resonance angiography (FeMRA) can be used as an alternate and safe method to diagnose patients with compromised renal function who present with acute pulmonary embolus in the emergency department (ED) setting.\nCase Report:\n A 62-year old man with a history of renal transplant and lymphoproliferative disease described new onset of breathlessness. His clinical symptoms were suggestive of pulmonary embolus. He underwent FeMRA in the ED to avoid exposure to intravenous iodinated contrast. FeMRA demonstrated a left main pulmonary artery embolus, which extended to the left interlobar pulmonary artery. Afterward, the patient initiated anticoagulation therapy. With preserved renal function he was able to continue his outpatient chemotherapy regimen.\nConclusion:\n This case highlights a safe imaging technique for emergency physicians to diagnose pulmonary embolus and subsequently guide anticoagulation therapy for patients in whom use of conventional contrast is contraindicated.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "FE-MRA"
        },
        {
            "word": "pulmonary embolus"
        },
        {
            "word": "renal transplant"
        },
        {
            "word": "lymphoproliferative"
        }
    ],
    "section": "Case Series",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5sv71400",
    "frozenauthors": [
        {
            "first_name": "Ayaz",
            "middle_name": "",
            "last_name": "Aghayev",
            "name_suffix": "",
            "institution": "Brigham and Women’s Hospital, Department of Radiology, Boston, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Aliza",
            "middle_name": "A.",
            "last_name": "Memon",
            "name_suffix": "",
            "institution": "Brigham and Women’s Hospital, Department of Internal Medicine, Boston, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Paul",
            "middle_name": "Gregg",
            "last_name": "Greenough",
            "name_suffix": "",
            "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Lakshmi",
            "middle_name": "",
            "last_name": "Nayak",
            "name_suffix": "",
            "institution": "Dana Farber Cancer Institute, Boston, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Sijie",
            "middle_name": "",
            "last_name": "Zheng",
            "name_suffix": "",
            "institution": "Kaiser Permanente, Oakland, California",
            "department": "None"
        },
        {
            "first_name": "Andrew",
            "middle_name": "M.",
            "last_name": "Siedlecki",
            "name_suffix": "",
            "institution": "Brigham and Women’s Hospital, Department of Internal Medicine, Boston, Massachusetts",
            "department": "None"
        }
    ],
    "date_submitted": "2020-06-23T08:30:25+08:00",
    "date_accepted": "2020-06-23T08:30:25+08:00",
    "date_published": "2020-06-23T08:31:03+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/853/galley/605/download/"
        }
    ]
}