Nonsevere Acute Pulmonary Embolism: Prognostic CT Pulmonary Angiography Findings

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dc.authorid0000-0002-6253-3318en_US
dc.authorid0000-0003-3311-3338en_US
dc.authorid0000-0002-5539-2502en_US
dc.contributor.authorAtasoy, Mehmet Mahir
dc.contributor.authorSariman, Nesrin
dc.contributor.authorLevent, Ender
dc.contributor.authorCubuk, Rahmi
dc.contributor.authorCelik, Omer
dc.contributor.authorSaygi, Attila
dc.contributor.authorAtasoy, Isil
dc.contributor.authorSahin, Sinan
dc.date.accessioned2024-07-12T21:50:39Z
dc.date.available2024-07-12T21:50:39Z
dc.date.issued2015en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractPurpose: To retrospectively evaluate the prognostic parameters of computed tomography (CT) pulmonary angiographic findings in nonsevere (hemodynamically stable) pulmonary embolism(PE) patients and to assess the predictive value of these parameters for mortality within 1 month of the initial diagnosis. Materials and Methods: Retrospectively, 67 consecutive patients (28 men, 39 women; mean age, 63.25 +/- 18 years) from 2 centers with nonsevere PE diagnosed using CT and a clinical evaluation were included in the current study. Using consensus reading, 2 readers blinded to the patients' clinical outcomes quantified the right ventricle short axis to left ventricle short axis ratio in the axial plane, vascular measurements, reflux of contrast medium into the inferior vena cava and azygos vein, ventricular septal bowing, and clot load using the Qanadli scoring system. The Simplified Pulmonary Embolism Severity Index (sPESI) and pulmonary parenchymal findings were also evaluated. All CT pulmonary angiographic parameters were compared with the risk of death within 1 month using logistic regression analysis. Results: Fifty-nine patients survived (88.1%), and 8 patients (11.9%) died because of PE. The sPESI and 2 parenchymal findings (multiple wedge-shaped opacities or consolidation accompanied by a wedge-shaped opacity) were significantly related tomortality. In the univariate analysis, neither the cardiovascular CT parameters nor the clot burden was significant between the survivors and nonsurvivors (P > 0.05). Conclusions: In clinically nonsevere PE patients, the sPESI and significant parenchymal findings were the CT parameters related to 1-month mortality.en_US
dc.identifier.doi10.1097/RCT.0000000000000201
dc.identifier.endpage170en_US
dc.identifier.issn0363-8715
dc.identifier.issn1532-3145
dc.identifier.issue2en_US
dc.identifier.pmid25588188en_US
dc.identifier.scopus2-s2.0-84925842639en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage166en_US
dc.identifier.urihttps://dx.doi.org/10.1097/RCT.0000000000000201
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8179
dc.identifier.volume39en_US
dc.identifier.wosWOS:000351677000005en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofJOURNAL OF COMPUTER ASSISTED TOMOGRAPHYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY01865
dc.subjectpulmonary embolismen_US
dc.subjectnonsevereen_US
dc.subjecthemodynamically stableen_US
dc.subjectcomputerized tomography pulmonary angiographyen_US
dc.subjectprognostic findingsen_US
dc.titleNonsevere Acute Pulmonary Embolism: Prognostic CT Pulmonary Angiography Findingsen_US
dc.typeArticle
dspace.entity.typePublication

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