401 results match your criteria Acute Pulmonary Embolism Helical CT


[On the Causes of Angina Pectoris in Patients With Pulmonary Embolism].

Kardiologiia 2020 Feb 4;60(1):28-34. Epub 2020 Feb 4.

Tver Regional Clinical Hospital.

Objective Compare the distance between the pulmonary artery (PA) and the left coronary artery (LCA) using pulmonary angiography and the rate of detection of the signs of left ventricular myocardial ischemiain the first electrocardiogram (ECG) in pulmonary embolism (PE) patients with or without angina to detect possible causes of angina pectoris.Material and Methods Measurement of the minimum distance between the PA and LCA in multislice spiral computed tomography and analysis of the first ECG were performed in 55 PE patients. 15 (27. Read More

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http://dx.doi.org/10.18087/cardio.2020.1.n729DOI Listing
February 2020

Computed tomography pulmonary angiography for acute pulmonary embolism: prediction of adverse outcomes and 90-day mortality in a single test.

Pol J Radiol 2019 6;84:e436-e446. Epub 2019 Nov 6.

Department of Radiology, Modarres Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Purpose: Pulmonary embolism (PE) is a potentially fatal cardiopulmonary disease; therefore, rapid risk stratification is necessary to make decisions of appropriate management strategies. The aim of this study was to assess various computed tomography (CT) findings in order to find new prognostic factors of adverse outcome and mortality.

Material And Methods: The study enrolled 104 patients with acute PE. Read More

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http://dx.doi.org/10.5114/pjr.2019.89896DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964354PMC
November 2019

Primary Renal Vein Aneurysm Rupture: Case Report of a Catastrophic Entity.

Ann Vasc Surg 2020 Feb 14;63:459.e1-459.e4. Epub 2019 Oct 14.

Department of General Surgery, General Hospital of Drama, Drama, Greece.

Background: Renal vein aneurysms (RVAs) are uncommon entities, which are usually incidental findings or may cause mild nonspecific symptoms. Modern radiological imaging, mainly multislice computed tomography (CT), has substantially contributed to a prompt and accurate diagnosis. Treatment may range from watchful waiting to aneurysmorraphy, aneurysmectomy, and nephrectomy. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.08.075DOI Listing
February 2020
2 Reads

Endocan as a marker of disease severity in pulmonary thromboembolism.

Clin Respir J 2019 Dec 7;13(12):773-780. Epub 2019 Oct 7.

Department of Medical Biochemistry, Firat University Faculty of Medicine, Elazig, Turkey.

Introduction: The aim of this study is to determine the serum endocan levels in patients with pulmonary thromboembolism (PTE) and investigate whether a relationship exists between serum endocan levels and the disease severity.

Materials And Methods: The study included 85 patients with acute PTE and 40 healthy control subjects. The patients with PTE were divided into three groups at admission as "high-risk", "intermediate-risk" and "low-risk", considering the guidelines of the European Society of Cardiology. Read More

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http://dx.doi.org/10.1111/crj.13089DOI Listing
December 2019
2 Reads

Prevalence and Predictor of Pulmonary Embolism in a Cohort of Chinese Patients with Acute Proximal Deep Vein Thrombosis.

Ann Vasc Surg 2020 Feb 16;63:293-297. Epub 2019 Sep 16.

Division of Vascular Surgery, Department of Surgery, The University of Hong Kong Shenzhen Hospital, Shenzhen, Guangdong, People's Republic of China; Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, People's Republic of China.

Background: The aim of this study is to investigate the incidence of pulmonary embolism (PE) in a cohort of Chinese patients with acute (<14 days) proximal (above-knee) deep vein thrombosis (DVT) in the lower limbs, and to evaluate whether the location of thrombosis is associated with the existence of PE.

Methods: A retrospective review of patients diagnosed with acute proximal DVT from January 2014 to June 2018 at a single center was performed. Helical computed tomography angiography was performed to screen PE within 48 hr after admission. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.06.042DOI Listing
February 2020
2 Reads

Unenhanced multidetector computed tomography findings in acute central pulmonary embolism.

BMC Med Imaging 2019 08 14;19(1):65. Epub 2019 Aug 14.

Department of Radiology, Chi-Mei Medical Center, No.901, Zhonghua Rd., Yongkang Dist, Tainan City, 710, Taiwan, Republic of China.

Background: Computed tomography pulmonary angiography (CTPA) is the gold standard for the diagnosis of pulmonary embolism (PE). However, contrast is contraindicated in some patients. The purpose of this study was to determine the diagnostic accuracy of unenhanced multidetector CT (MDCT) for diagnosis of central PE using CTPA as the gold standard. Read More

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http://dx.doi.org/10.1186/s12880-019-0364-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6692926PMC
August 2019
4 Reads

Keeping prognostic assessment simple: The value of clinical features in normotensive cancer patients with pulmonary embolism.

Rev Port Cardiol 2019 06 12;38(6):407-415. Epub 2019 Jul 12.

Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Pólo Hospitais da Universidade de Coimbra, Coimbra, Portugal.

Introduction: Although normotensive cancer patients with acute pulmonary embolism (PE) are a heterogeneous population, most validated clinical prognostic scores classify these patients as high-risk individuals, which limits their usefulness in this setting. In this study, we aimed to identify readily available clinical predictors of overall 30-day and one-year mortality in normotensive cancer patients with PE.

Methods And Results: We performed a retrospective single-center study that included all normotensive cancer patients with PE diagnosed by multidetector computed tomography (MDCT) during emergency department stay between January 2010 and December 2011. Read More

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http://dx.doi.org/10.1016/j.repc.2018.06.015DOI Listing
June 2019
2 Reads

Red cell distribution width in acute pulmonary embolism patients: A simple aid for improvement of the 30-day mortality risk stratification based on the pulmonary embolism severity index.

Heart Lung 2019 Sep - Oct;48(5):436-445. Epub 2019 Mar 22.

University Hospital Dubrava, Avenija Gojka Šuška 6, Zagreb, 10000, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University, Osijek, Croatia. Electronic address:

Background: Pulmonary embolism (PE) severity index (PESI) well predicts 30-day mortality in acute PE patients, yet improvements have been advocated.

Objectives: To evaluate predictivity of the red cell distribution width (RDW) through a comparison with PESI and to explore their interaction as a potential improvement in this respect.

Methods: Retrospective analysis of consecutive adult PE patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01479563183037
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http://dx.doi.org/10.1016/j.hrtlng.2019.02.006DOI Listing
March 2020
11 Reads

Catheter-directed aspiration thrombectomy and low-dose thrombolysis for patients with acute unstable pulmonary embolism: Prospective outcomes from a PE registry.

Int J Cardiol 2019 07 28;287:106-110. Epub 2019 Feb 28.

Respiratory Department, Hospital Ramón y Cajal and Universidad de Alcalá (IRYCIS), Madrid, Spain. Electronic address:

Objectives: To evaluate the efficacy and safety of aspiration thrombectomy in combination with low-dose catheter-directed thrombolysis for acute unstable pulmonary embolism (PE).

Background: Acute unstable (PE) is a life-threatening condition requiring treatment escalation, but many patients cannot receive full-dose systemic thrombolysis due to contraindications.

Methods: Eligible patients had a PE with sustained hypotension. Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.02.061DOI Listing
July 2019
8 Reads

The rationale, design, and methods of a randomized, controlled trial to evaluate the efficacy and safety of an active strategy for the diagnosis and treatment of acute pulmonary embolism during exacerbations of chronic obstructive pulmonary disease.

Clin Cardiol 2019 Mar 25;42(3):346-351. Epub 2019 Feb 25.

Divisions of Pulmonary and Critical Care Medicine and General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri.

Introduction: Some previous studies have suggested a high prevalence of pulmonary embolism (PE) during exacerbations of chronic obstructive pulmonary disease (ECOPD). The SLICE trial aims to assess the efficacy and safety of an active strategy for the diagnosis and treatment of PE (vs usual care) in patients hospitalized because of ECOPD.

Methods: SLICE is a phase III, prospective, international, multicenter, randomized, open-label, and parallel-group trial. Read More

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http://dx.doi.org/10.1002/clc.23161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6712316PMC
March 2019
18 Reads

The dilemma of the "ischemic-looking" electrocardiogram: Pulmonary embolism or acute coronary syndrome?

Ann Card Anaesth 2019 Jan-Mar;22(1):89-91

Department of Radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Pulmonary embolism (PE) may be potentially fatal if not diagnosed and treated in time. Although specific electrocardiogram (ECG) findings often suggest the diagnosis of PE, occasionally, the ECG may mimic that of an acute coronary syndrome (ACS). We report an interesting case of a 45-year-old female presenting with sudden onset chest pain and shortness of breath with widespread ST depression in anterior precordial leads. Read More

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http://www.annals.in/text.asp?2019/22/1/89/250195
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http://dx.doi.org/10.4103/aca.ACA_40_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350422PMC
April 2020
18 Reads

Paradoxical brain embolism shadowing massive pulmonary embolism.

Am J Emerg Med 2018 08 20;36(8):1527.e1-1527.e2. Epub 2018 May 20.

AP-HP, CHU Henri Mondor, DHU A-TVB, Service de Réanimation Médicale, Créteil, F-94010, France; Université Paris Est Créteil, Faculté de Médecine, Groupe de recherche clinique CARMAS, Créteil, F-94010, France.

Patent foramen ovale is frequently observed in the general population. In case of massive pulmonary embolism, the sudden increase in the right heart cavity's pressure may cause a right-to-left shunting across this foramen, which could be associated with conflicting outcomes. Herein, we report a case of reversible cardiac arrest preceded by seizures, and followed by hemodynamic stability without any vasopressor. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.05.024DOI Listing
August 2018
7 Reads
1.152 Impact Factor

Risk stratification of acute pulmonary embolism based on clinical parameters, H-FABP and multidetector CT.

Int J Cardiol 2018 Aug 19;265:223-228. Epub 2018 Apr 19.

Respiratory Department and Medicine Department, Ramón y Cajal Hospital, Alcalá de Henares University, IRYCIS, Madrid, Spain.

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http://dx.doi.org/10.1016/j.ijcard.2018.04.066DOI Listing
August 2018
17 Reads

A Clinically Meaningful Interpretation of the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) II and III Data.

Acad Radiol 2018 05 11;25(5):561-572. Epub 2018 Jan 11.

Department of Radiology, University of Michigan Health System, B1 132G Taubman Center/5302, 1500 East Medical Center, Ann Arbor, MI 48109; Nuclear Medicine Service, VA Ann Arbor Health Care System, Ann Arbor, Michigan.

Rationale And Objectives: This study aimed to calculate the multiple-level likelihood ratios (LRs) and posttest probabilities for a positive, indeterminate, or negative test result for multidetector computed tomography pulmonary angiography (MDCTPA) ± computed tomography venography (CTV) and magnetic resonance pulmonary angiography (MRPA) ± magnetic resonance venography (MRV) for each clinical probability level (two-, three-, and four-level) for the nine most commonly used clinical prediction rules (CPRs) (Wells, Geneva, Miniati, and Charlotte). The study design is a review of observational studies with critical review of multiple cohort studies. The settings are acute care, emergency room care, and ambulatory care (inpatients and outpatients). Read More

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http://dx.doi.org/10.1016/j.acra.2017.11.014DOI Listing
May 2018
8 Reads

Patent foramen ovale in patients with pulmonary embolism: A prognostic factor on CT pulmonary angiography?

J Cardiovasc Comput Tomogr 2018 Jul - Aug;12(4):271-274. Epub 2017 Dec 2.

Departments of Radiology, Montefiore Medical Center and Albert Einstein College of Medicine, 111 E 210th St, Bronx NY 10467, United States; Medicine - Division of Cardiology, Montefiore Medical Center and Albert Einstein College of Medicine, 111 E 210th St, Bronx NY 10467, United States. Electronic address:

Background: Patent foramen ovale (PFO) in patients with acute pulmonary embolism (PE) represents a risk factor for mortality, but this has not been evaluated for CT pulmonary angiography (CTPA). The purpose of the present study was to assess the relationship between PFO and mortality in patients with acute PE diagnosed on CTPA.

Materials And Methods: This retrospective study included 268 adults [173 women, mean age 61 (range 22-98) years] diagnosed with acute PE on non-ECG-gated 64-slice CTPA in 2012 at our medical center. Read More

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http://dx.doi.org/10.1016/j.jcct.2017.11.009DOI Listing
November 2018
31 Reads

Computed tomography pulmonary angiography using a 20% reduction in contrast medium dose delivered in a multiphasic injection.

World J Radiol 2017 Mar;9(3):143-147

Mitchell Chen, Jamal A Abdulkarim, Department of Radiology, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire CV10 7DJ, United Kingdom.

Aim: To evaluate the feasibility of reducing the dose of iodinated contrast agent in computed tomography pulmonary angiography (CTPA).

Methods: One hundred and twenty-seven patients clinically suspected of having pulmonary embolism underwent spiral CTPA, out of whom fifty-seven received 75 mL and the remaining seventy a lower dose of 60 mL of contrast agent. Both doses were administered in a multiphasic injection. Read More

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http://dx.doi.org/10.4329/wjr.v9.i3.143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5368630PMC
March 2017
11 Reads

Assessment of right ventricular function in acute pulmonary embolism.

Am Heart J 2017 Mar 29;185:123-129. Epub 2016 Dec 29.

Respiratory Department, Ramón y Cajal Hospital and Universidad de Alcalá IRYCIS, Madrid, Spain. Electronic address:

The optimal approach to assess right ventricular (RV) function in patients with acute symptomatic pulmonary embolism (PE) lacks clarity.

Methods: This study aimed to evaluate the optimal approach to assess RV function in normotensive patients with acute symptomatic PE. Outcomes assessed through 30-days after the diagnosis of PE included all-cause mortality and complicated course. Read More

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http://dx.doi.org/10.1016/j.ahj.2016.12.009DOI Listing
March 2017
15 Reads

High-risk pulmonary embolism in a patient with acute dissecting aortic aneurysm.

Authors:
M Tudoran C Tudoran

Niger J Clin Pract 2016 Nov-Dec;19(6):831-833

Department of Internal Medicine II, Clinic of Cardiology, Victor Babes University of Medicine and Pharmacy Timisoara, Timişoara, Romania.

In the last decades, an increased incidence of pulmonary embolism (PE) and acute dissection (AD) of aortic aneurysms has been registered mostly due to increased availability of advanced imaging techniques. They seldom occur concomitantly in the same patient. In this paper, we present the clinical challenges and controversies of diagnosis and therapy in a 70-year-old male patient with an atypical presentation of high-risk PE occurring concomitantly with a silent AD of a thoracic aortic aneurysm. Read More

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http://www.njcponline.com/text.asp?2016/19/6/831/181355
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http://dx.doi.org/10.4103/1119-3077.181355DOI Listing
February 2018
6 Reads

Septic Pulmonary Embolism Requiring Critical Care: Clinicoradiological Spectrum, Causative Pathogens and Outcomes.

Clinics (Sao Paulo) 2016 Oct 1;71(10):562-569. Epub 2016 Oct 1.

Tainan Municipal Hospital, Department of Internal Medicine, Tainan/Taiwan.

Objectives:: Septic pulmonary embolism is an uncommon but life-threatening disorder. However, data on patients with septic pulmonary embolism who require critical care have not been well reported. This study elucidated the clinicoradiological spectrum, causative pathogens and outcomes of septic pulmonary embolism in patients requiring critical care. Read More

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http://dx.doi.org/10.6061/clinics/2016(10)02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054769PMC
October 2016
10 Reads

CT pulmonary angiography-based scoring system to predict the prognosis of acute pulmonary embolism.

J Cardiovasc Comput Tomogr 2016 Nov - Dec;10(6):473-479. Epub 2016 Aug 24.

Applied Imaging Science Laboratory, Department of Radiology, Brigham and Women's Hospital & Harvard Medical School, Boston, MA, United States; Department of Radiology, The University of Ottawa and The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

Background: The purpose is to develop a comprehensive risk-scoring system based on CT findings for predicting 30-day mortality after acute pulmonary embolism (PE), and to compare it with PE Severity Index (PESI).

Materials And Methods: The study included consecutive 1698 CT pulmonary angiograms (CTPA) positive for acute PE performed at a single institution (2003-2010). Two radiologists independently assessed each study regarding clinically relevant findings and then performed adjudication. Read More

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http://dx.doi.org/10.1016/j.jcct.2016.08.007DOI Listing
April 2017
72 Reads

Gender-related differences in clinical presentation, electrocardiography signs, laboratory markers and outcome in patients with acute pulmonary embolism.

Vojnosanit Pregl 2016 Sep;73(9):844-9

Background/aim: Acute pulmonary embolism (PE) is a potentially life threating event, but there are scarce data about genderrelated differences in this condition. The aim of this study was to identify gender-specific differences in clinical presentation, the diagnosis and outcome between male and female patients with PE.

Methods: We analysed the data of 144 consecutive patients with PE (50% women) and compared female and male patients regarding clinical presentation, electrocardiography (ECG) signs, basic laboratory markers and six-month outcome. Read More

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http://dx.doi.org/10.2298/VSP150716093ODOI Listing
September 2016
28 Reads

Pleural effusions as a predictive parameter for poor prognosis for patients with acute pulmonary thromboembolism.

J Thromb Thrombolysis 2016 Oct;42(3):432-40

China-Japan Friendship Hospital, Yinghua Dongjie, Hepingli, Beijing, 100029, People's Republic of China.

The incidence, characteristics of pleural effusions due to pulmonary thromboembolism (PTE) have been reported previously. However, the impact of pleural effusions on the prognosis of acute PTE patients and the involved influencing factors remain unclear. A total of 518 consecutive PTE patients were enrolled in Beijing Chao-Yang Hospital from January 2009 to April 2014. Read More

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http://dx.doi.org/10.1007/s11239-016-1371-2DOI Listing
October 2016
86 Reads

Normal ventricular diameter ratio on CT provides adequate assessment for critical right ventricular strain among patients with acute pulmonary embolism.

Int J Cardiovasc Imaging 2016 Jul 13;32(7):1153-61. Epub 2016 Apr 13.

Applied Imaging Science Laboratory, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

There is variability in guideline recommendations for assessment of the right ventricle (RV) with imaging as prognostic information after acute pulmonary embolism (PE). The objective of this study is to identify a clinical scenario for which normal CT-derived right-to-left ventricular (RV/LV) ratio is sufficient to exclude RV strain or PE-related short-term death. This retrospective cohort study included 579 consecutive subjects (08/2003-03/2010) diagnosed with acute PE with normal CT-RV/LV ratio (<0. Read More

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http://dx.doi.org/10.1007/s10554-016-0887-zDOI Listing
July 2016
55 Reads

The role of NT-proBNP and Apelin in the assessment of right ventricular dysfunction in acute pulmonary embolism.

J Pak Med Assoc 2016 Mar;66(3):306-11

Department of Cardiology, Ondokuz Mayis University Medical Faculty, Samsun, Turkey.

Objective: To investigate the role of N-terminal pro-brain natriuretic peptide and apelin in the assessment of right ventricular dysfunction in acute pulmonary embolism.

Methods: The prospective case-control study was conducted at Ondokuz Mayis University, Samsun, Turkey, from January 2008 to June 2009, and comprised adult patients with acute pulmonary embolism. A smaller group of healthy adults served as the control. Read More

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March 2016
4 Reads

[Pulmonary embolism].

Med Klin Intensivmed Notfmed 2016 Mar 30;111(2):163-75; quiz 176-7. Epub 2015 Nov 30.

Medizinische Klinik II, Universitätsklinikum Gießen und Marburg, Standort Gießen, Klinikstraße 33, 35392, Gießen, Deutschland.

Pulmonary embolism is a potentially fatal disorder and frequently seen in critical care and emergency medicine. Due to a high mortality rate within the first few hours, the accurate initiation of rational diagnostic pathways in patients with suspected pulmonary embolism and timely consecutive treatment is essential. In this review, the current European guidelines on the diagnosis and therapy of acute pulmonary embolism are presented. Read More

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http://dx.doi.org/10.1007/s00063-015-0114-zDOI Listing
March 2016
17 Reads

The electrocardiographic characteristics of an acute embolism in the pulmonary trunk and the main pulmonary arteries.

Am J Emerg Med 2016 Feb 24;34(2):212-7. Epub 2015 Oct 24.

Department of Cardiovasology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan province, China.

Objective: Pulmonary embolism (PE) is a common cardiovascular disease that can be easily missed or misdiagnosed. Electrocardiogram (ECG) is valuable in making early diagnoses and performing risk stratification with regard to acute PE.

Methods: A total of 147 hospitalized patients diagnosed with acute PE were enrolled in this study and divided into the following 2 groups: main pulmonary artery trunk or main pulmonary artery (MPA) embolism and lobar artery or remote branch embolism. Read More

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http://dx.doi.org/10.1016/j.ajem.2015.10.028DOI Listing
February 2016
15 Reads

Diagnosis of pulmonary embolism.

Presse Med 2015 Dec 14;44(12 Pt 2):e385-91. Epub 2015 Nov 14.

University of Ottawa, Ottawa hospital research institute, department of medicine, Ottawa, Canada; Université de Brest, department of internal medicine, EA 3878, CIC 1412, 29609 Brest, France.

Pulmonary embolism is the third cause of mortality by cardiovascular disease after coronary artery disease and stroke, and its incidence is around 1/1000 per year. During the last two decades, many different non-invasive diagnostic tests have been developed and validated. For hemodynamically stable outpatients, the diagnosis of acute pulmonary embolism mainly rests on the sequential use of clinical assessment, D-dimer measurement and multidetector CT. Read More

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http://dx.doi.org/10.1016/j.lpm.2015.10.007DOI Listing
December 2015
25 Reads

Ten years of imaging for pulmonary embolism: too many scans or the tip of an iceberg?

Clin Radiol 2015 Dec 15;70(12):1370-5. Epub 2015 Sep 15.

Dept. of Radiology, Royal Infirmary of Edinburgh, UK.

Aim: To examine the number and nature of investigations performed for suspected pulmonary embolism (PE) in a large teaching hospital and the change in incidence and severity of PE over a decade.

Materials And Methods: In this retrospective study, all patients investigated for suspected PE using computed tomography pulmonary angiography (CTPA) or lung scintigraphy during 10 years to March 2012 were identified and their records reviewed. In the final year, all reportedly positive CTPA cases were reviewed and PE severity calculated, for comparison with similar historical data. Read More

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http://dx.doi.org/10.1016/j.crad.2015.07.010DOI Listing
December 2015
10 Reads

Utility of hand-held devices in diagnosis and triage of cardiovascular emergencies. Observations during implementation of a PACS-based system in an acute aortic syndrome (AAS) network.

J Cardiovasc Comput Tomogr 2015 Nov-Dec;9(6):524-33. Epub 2015 Aug 3.

Imaging Institute and Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address:

Background: Prompt diagnosis and early referral to specialized centers is critical for patients presenting with cardiovascular emergencies, including acute aortic syndromes (AAS). Prior data has suggested that mobile access to imaging studies with hand-held devices can accelerate diagnosis and management.

Objective: We conducted a study to determine the diagnostic accuracy of a hand-held device compared to conventional dedicated work-stations for diagnosing a spectrum of cardiovascular emergencies, predominantly acute aortic pathology. Read More

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http://dx.doi.org/10.1016/j.jcct.2015.07.013DOI Listing
September 2016
35 Reads

Diagnostic performance of magnetic resonance imaging for acute pulmonary embolism: a systematic review and meta-analysis.

J Thromb Haemost 2015 Sep 11;13(9):1623-34. Epub 2015 Aug 11.

Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Background: With ongoing technical developments, magnetic resonance imaging (MRI) has notably evolved for the assessment of the pulmonary vasculature. However, uncertainty persists about the performance of MRI for the diagnosis of acute pulmonary embolism (APE).

Objectives: To clarify the comprehensive role of MRI in diagnosing APE. Read More

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http://dx.doi.org/10.1111/jth.13054DOI Listing
September 2015
4 Reads

Coronary computed tomography angiography for the assessment of chest pain: current status and future directions.

Int J Cardiovasc Imaging 2015 Dec 2;31 Suppl 2:125-43. Epub 2015 Jul 2.

Department of Medicine (MMC), Monash Cardiovascular Research Centre, MonashHEART, Monash Health and Monash University, 246 Clayton Road, Clayton, Melbourne, 3168, Australia.

Chest pain is one of the most common presenting symptoms leading to presentation to medical clinics and Emergency Departments worldwide. Defining the nature and etiology of chest pain can pose a diagnostic dilemma for clinicians, despite the availability of several diagnostic algorithms and guidelines to assist them in evaluating these patients. Most investigations in patients with acute chest pain are initially performed to either exclude or diagnose and manage potentially life-threatening conditions such as acute coronary syndrome, pulmonary embolism and aortic dissection. Read More

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http://dx.doi.org/10.1007/s10554-015-0698-7DOI Listing
December 2015
5 Reads

Risk stratification in submassive pulmonary embolism via alveolar-arterial oxygen gradient.

Hippokratia 2014 Oct-Dec;18(4):333-9

Department of Pulmonary Medicine, Faculty of Medicine, 19 Mayis University, Samsun, Turkey.

Aim: This study investigated the utility of the alveolar-arterial (AaDO2) gradient in predicting the short-term prognosis of submassive pulmonary embolism (PE).

Material And Methods: This study retrospectively enrolled 124 patients with acute submassive PE. During the first 24 h of admission, all patients had initial artery blood gas collected under room air. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4453807PMC
June 2015
6 Reads

Pulmonary vascular diseases.

Clin Chest Med 2015 Jun 26;36(2):235-48, viii. Epub 2015 Mar 26.

Cardiothoracic Imaging, Mallinckrodt Institute of Radiology, Washington University School of Medicine in St Louis, 510 South Kingshighway Boulevard, Box 8131, St Louis, MO 63110, USA. Electronic address:

Pulmonary vascular diseases encompass a large and diverse group of underlying pathologies ranging from venous thromboembolism to congenital malformations to inflammatory vasculitides. As a result, patients can present either acutely with dyspnea and chest pain or chronically with dyspnea on exertion, hypoxia, and right heart failure. Imaging, particularly with multidetector CT, plays a key role in the evaluation and management of patients with suspected pulmonary vascular disease and, given the widespread routine use of high-quality CT pulmonary angiography, it is imperative that radiologists be familiar these pathologies. Read More

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http://dx.doi.org/10.1016/j.ccm.2015.02.007DOI Listing
June 2015
13 Reads

Thromboembolic resolution assessed by CT pulmonary angiography after treatment for acute pulmonary embolism.

Thromb Haemost 2015 Jul 28;114(1):26-34. Epub 2015 May 28.

P. L. den Exter, MD, Department of Thrombosis and Hemostasis, Leiden University Medical Center, Albinusdreef 2, P.O Box 9600, 2300 RC, Leiden, the Netherlands, Tel: + 31 71 526 2085; Fax: +31 71 524 8140, E-mail:

The systematic assessment of residual thromboembolic obstruction after treatment for acute pulmonary embolism (PE) has been understudied. This assessment is of potential clinical importance, should clinically suspected recurrent PE occur, or as tool for risk stratification of cardiopulmonary complications or recurrent venous thromboembolism (VTE). This study aimed to assess the rate of PE resolution and its implications for clinical outcome. Read More

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http://dx.doi.org/10.1160/TH14-10-0842DOI Listing
July 2015
50 Reads

Derivation of a screening tool to identify patients with right ventricular dysfunction or tricuspid regurgitation after negative computerized tomographic pulmonary angiography of the chest.

Pulm Circ 2015 Mar;5(1):171-83

Division of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana, USA; and Eskenazi Health Center, Indianapolis, Indiana, USA.

Many dyspneic patients who undergo computerized tomographic pulmonary angiography (CTPA) for presumed acute pulmonary embolism (PE) have no identified cause for their dyspnea yet have persistent symptoms, leading to more CTPA scanning. Right ventricular (RV) dysfunction or overload can signal treatable causes of dyspnea. We report the rate of isolated RV dysfunction or overload after negative CTPA and derive a clinical decision rule (CDR). Read More

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http://dx.doi.org/10.1086/679723DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4405712PMC
March 2015
9 Reads

Nuances of the unenhanced abdominal CT: careful inspection discloses critical findings.

Abdom Imaging 2015 Oct;40(7):2883-93

The Russell H. Morgan Department of Radiology and Radiologic Science, Johns Hopkins School of Medicine, 601 N. Caroline Street, Baltimore, MD, 21287, USA.

Patients who have unenhanced abdominal CT scans are often critically ill. The unenhanced CT may reveal many unsuspected subtle abnormalities in the lower chest, abdomen, and pelvis and accordingly warrants careful attention. This article reviews unenhanced CT findings in the setting of pulmonary embolus, acute aortic syndromes, mesenteric and deep venous thrombosis, gastrointestinal hemorrhage, pancreatitis and its complications, as well as pyelonephritis. Read More

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http://dx.doi.org/10.1007/s00261-015-0422-zDOI Listing
October 2015
19 Reads

Multidetector computed tomography pulmonary angiography in childhood acute pulmonary embolism.

Pediatr Radiol 2015 Sep 7;45(10):1431-9. Epub 2015 Apr 7.

Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, 210002, China.

Pulmonary embolism is a life-threatening condition affecting people of all ages. Multidetector row CT pulmonary angiography has improved the imaging of pulmonary embolism in both adults and children and is now regarded as the routine modality for detection of pulmonary embolism. Advanced CT pulmonary angiography techniques developed in recent years, such as dual-energy CT, have been applied as a one-stop modality for pulmonary embolism diagnosis in children, as they can simultaneously provide anatomical and functional information. Read More

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http://dx.doi.org/10.1007/s00247-015-3336-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553120PMC
September 2015
7 Reads

Computed tomography of acute pulmonary embolism: state-of-the-art.

Eur Radiol 2015 Sep 13;25(9):2547-57. Epub 2015 Mar 13.

Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, 210002, China,

Multidetector computed tomography (CT) plays an important role in the detection, risk stratification and prognosis evaluation of acute pulmonary embolism. This review will discuss the technical improvements for imaging peripheral pulmonary arteries, the methods of assessing pulmonary embolism severity based on CT findings, a multidetector CT technique for pulmonary embolism detection, and lastly, how to avoid overutilization of CT pulmonary angiography and overdiagnosis of pulmonary embolism. Key Points • We describe clinical prediction rules and D-dimers for pulmonary embolism evaluation. Read More

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http://dx.doi.org/10.1007/s00330-015-3679-2DOI Listing
September 2015
12 Reads

Iodine Distribution Map in Dual-Energy Computed Tomography Pulmonary Artery Imaging with Rapid kVp Switching for the Diagnostic Analysis and Quantitative Evaluation of Acute Pulmonary Embolism.

Acad Radiol 2015 Jun 13;22(6):743-51. Epub 2015 Mar 13.

Medical Imaging Center, Department of Radiology, The First Affiliated Hospital, Jinan University, No. 613 West Huangpu Ave, Tianhe District, Guangzhou 510630, China. Electronic address:

Rationale And Objectives: To assess the diagnostic value of dual-energy (DE) computed tomography pulmonary angiography (CTPA) for acute pulmonary embolism (PE) using a helical DE scan mode with rapid kVp switching.

Materials And Methods: Seventy-six patients with suspected acute PE underwent DE CTPA. Two readers independently assessed and measured the iodine maps. Read More

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http://dx.doi.org/10.1016/j.acra.2015.01.012DOI Listing
June 2015
9 Reads

[Pulmonary artery thromboembolism on the background of hyperhomocysteinemia].

Angiol Sosud Khir 2015 ;21(1):25-8

Novosibirsk Scientific Research Institute for Circulatory Pathology named after Academician E.N. Meshalkin under the RF Public Health Ministry, Novosibirsk, Russia.

The article provides a detailed description of a clinical case report of acute massive pulmonary artery thromboembolism (PATE) in an elderly female patient. She was diagnosed with a carrier state of polymorphism of genes associated with impairment in the folate cycle MTHFR:677 - TT, MTRR:66 - AG and polymorphisms associated with disordered blood coagulation system F13 - GT; ITGB3:1565 - TC; SERPINE1 (PAI-1):675 - 4G4G. She was also found to have hyperhomocysteinemia - 67. Read More

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July 2015
7 Reads

Usefulness of admission hematologic parameters as diagnostic tools in acute pulmonary embolism.

Kaohsiung J Med Sci 2015 Mar 16;31(3):145-9. Epub 2015 Jan 16.

Department of Cardiology, Mersin University School of Medicine, Mersin, Turkey.

The purpose of this study was to determine the role of red cell distribution width (RDW), neutrophil-lymphocyte ratio (NLR), and platelet-lymphocyte ratio (PLR) in the diagnostic phase of acute pulmonary embolism (PE). We screened 248 consecutive patients who were admitted to the emergency service with PE foremost in the differential diagnosis. Based on spiral computed chest tomography, the patients were divided into two groups. Read More

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http://dx.doi.org/10.1016/j.kjms.2014.12.004DOI Listing
March 2015
55 Reads

Predictive Value of Computed Tomography in Acute Pulmonary Embolism: Systematic Review and Meta-analysis.

Am J Med 2015 Jul 11;128(7):747-59.e2. Epub 2015 Feb 11.

Department of Radiology, University of Tübingen, Tübingen, Germany.

Background: Many computed tomography (CT) parameters have been proposed as potential predictors of outcome in acute pulmonary embolism. We sought to summarize available evidence on the predictive value of CT severity parameters for short-term clinical outcome in pulmonary embolism.

Methods: We searched PubMed and EMBASE through February 2014 for studies that reported on the association between CT parameters of acute pulmonary embolism severity and short-term (≤6 months) clinical outcome. Read More

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http://dx.doi.org/10.1016/j.amjmed.2015.01.023DOI Listing
July 2015
31 Reads

Prevalence and significance of clinically unsuspected pulmonary embolism: detection using coronary computed tomography angiography.

J Card Surg 2015 Apr 30;30(4):301-6. Epub 2015 Jan 30.

Department of Cardiology, Mitsubishi Kyoto Hospital, Kyoto, Japan.

Background And Aim: Clinically unsuspected pulmonary embolism can be detected using coronary computed tomography (CT), but the clinical significance of unsuspected pulmonary embolism remains unclear.

Methods: Pulmonary embolism was assessed using consecutive coronary CT from March 2003 to June 2007 to assess 1077 patients. Coronary CT was performed using a 16-row multidetector CT (MDCT) scanner with ECG-gating. Read More

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http://dx.doi.org/10.1111/jocs.12512DOI Listing
April 2015
7 Reads

[Pulmonary embolism].

Dtsch Med Wochenschr 2015 Jan 22;140(2):89-96. Epub 2015 Jan 22.

Universitätsklinikum Hamburg-Eppendorf.

Acute pulmonary embolism is an important differential diagnosis of acute chest pain. The clinical signs are often non-specific. However, diagnosis and therapy must be done quickly in order to reduce morbidity and mortality. Read More

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http://dx.doi.org/10.1055/s-0041-100003DOI Listing
January 2015
24 Reads

Safety and biodistribution study of bone marrow-derived mesenchymal stromal cells and mononuclear cells and the impact of the administration route in an intact porcine model.

Cytotherapy 2015 Apr 15;17(4):392-402. Epub 2015 Jan 15.

Department of Anatomy and Cell Biology, Medical Research Center, University of Oulu, Oulu, Finland.

Background Aims: Bone marrow mononuclear cells (BM-MNCs) and bone marrow-derived mesenchymal stem stromal cells (BM-MSCs) could have therapeutic potential for numerous conditions, including ischemia-related injury. Cells transplanted intravascularly may become entrapped in the lungs, which potentially decreases their therapeutic effect and increases the risk for embolism.

Methods: Twelve pigs were divided into groups of 3 and received (99m)Tc- hydroxymethyl-propylene-amine-oxime-labeled autologous BM-MNCs or allogeneic BM-MSCs by either intravenous (IV) or intra-arterial (IA) transplantation. Read More

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http://dx.doi.org/10.1016/j.jcyt.2014.12.004DOI Listing
April 2015
59 Reads

MDCT diagnosis of acute pulmonary embolism in the emergent setting.

Emerg Radiol 2015 Aug 9;22(4):379-84. Epub 2015 Jan 9.

Department of Radiology, NYU Langone Medical Center, 660 1st Avenue, 3rd Floor, New York, NY, 10016, USA,

To compare utilization of CT pulmonary angiogram (CTA) for diagnosis of pulmonary embolism (PE) in an emergency department (ED) with unstructured CT ordering to published rates of CT positivity in other EDs including those employing decision support and to identify pathways for improved utilization via collaboration with our pathology and ED colleagues. Two hundred seventeen patients over a 2.5-month time period who received a CTA for PE were reviewed with exclusion of pediatric patients and all sub-optimal, non-diagnostic, or equivocal scans; 21 were excluded leaving a sample of 196 patients. Read More

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http://dx.doi.org/10.1007/s10140-014-1290-5DOI Listing
August 2015
9 Reads

Relationship of clot burden and echocardiographic severity of right ventricular dysfunction after acute pulmonary embolism.

Int J Cardiovasc Imaging 2015 Mar 27;31(3):509-15. Epub 2014 Nov 27.

Echocardiography Laboratory - MDP, Hospital Israelita Albert Einstein, São Paulo, Brazil,

The impact of pulmonary embolism on right ventricular (RV) performance can be evaluated by echocardiography, however, the relationship between pulmonary vascular involvement and RV burden is controversial. To assess the effect of clot burden on RV performance we studied 85 patients (aged 53 ± 17 years, 39 female) with confirmed PE by multislice computed tomography (CT) and echocardiography within 24 h of diagnosis. A CT score ranging from 1 to 20 points according to the pulmonary arteries involved was used. Read More

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http://dx.doi.org/10.1007/s10554-014-0576-8DOI Listing
March 2015
16 Reads

Correlation between the embolism area and pulmonary arterial systolic pressure as an indicator of pulmonary arterial hypertension in patients with acute pulmonary thromboembolism.

Eur Rev Med Pharmacol Sci 2014 ;18(17):2551-5

Department of Respiratory Medicine, Xuzhou Central Hospital, Xuzhou, Jiangsu Province, China. yyd1108

Objective: We tested whether correlation between embolism area and pulmonary arterial pressure may serve as an indicator of pulmonary arterial hypertension in patients with acute pulmonary thromboembolism.

Patients And Methods: In total, 204 patients who underwent spiral computed tomography (CT) pulmonary angiography and ultrasonic cardiogram were enrolled. The patients were stratified according to their pulmonary arterial systolic pressure into those with normal values, or those with mild, moderate, or severe pulmonary arterial hypertension. Read More

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December 2015
4 Reads

Spiral computed tomographic pulmonary angiography in patients with acute pulmonary emboli and no pre-existing comorbidity: a prospective prognostic panel study.

Eur Radiol 2015 Jan 28;25(1):147-54. Epub 2014 Aug 28.

Department of Radiology, Imam Reza Teaching Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

Objective: To investigate the prognostic validity of the right ventricular to left ventricular diameter (RVD/LVD) ratio and Qanadli pulmonary artery obstruction score (PAOS) in hemodynamically stable patients with no pre-existing comorbidities.

Methods: Sixty-three patients with no previous comorbidity were recruited for this study. The RVD/LVD ratio was calculated based on axial image measurements obtained from contrast-enhanced non-electrocardiography-gated spiral computed tomography (CT) pulmonary angiographic studies. Read More

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http://dx.doi.org/10.1007/s00330-014-3383-7DOI Listing
January 2015
25 Reads

Randomised trial of no hydration vs. sodium bicarbonate hydration in patients with chronic kidney disease undergoing acute computed tomography-pulmonary angiography.

J Thromb Haemost 2014 Oct 26;12(10):1658-66. Epub 2014 Sep 26.

Department of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, The Netherlands.

Background: Hydration to prevent contrast-induced acute kidney injury (CI-AKI) induces a diagnostic delay when performing computed tomography-pulmonary angiography (CTPA) in patients suspected of having acute pulmonary embolism.

Aim: To analyze whether withholding hydration is non-inferior to sodium bicarbonate hydration before CTPA in patients with chronic kidney disease (CKD).

Methods: We performed an open-label multicenter randomized trial between 2009 and 2013. Read More

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http://dx.doi.org/10.1111/jth.12701DOI Listing
October 2014
7 Reads