Safety and Efficiency of the YEARS Algorithm Versus Computed Tomography Pulmonary Angiography Alone for Suspected Pulmonary Embolism in Patients With Malignancy

Exclusion Criteria

• •A potential subject who meets any of the following criteria will be excluded from participation in this study:
• •Medical or psychological condition that would not permit completion of the study or signing of informed consent, including life expectancy less than 3 months, or unwillingness to sign informed consent
• •Treatment with full-dose therapeutically dosed anticoagulation that was initiated 24 hours or more prior to eligibility assessment
• •Contraindication to CTPA
• •* contrast allergy
• •Hemodynamic instability at presentation (as a consequence of concurrent acute PE or otherwise), indicated by at least one of the following:
• •systolic blood pressure (SBP) \< 100 mm Hg, or heart rate \>120 beats per minute or SBP drop by \> 40 mm Hg, for \> 15 min
• •need for catecholamines to maintain adequate organ perfusion and a systolic blood pressure of \> 100 mmHg
• •Need for cardiopulmonary resuscitation
• •Inability to follow-up
• •Life expectancy less than 3 months