Can we use CT pulmonary angiography as an alternative to echocardiography in determining right ventricular dysfunction and its severity in patients with acute pulmonary thromboembolism?
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Our aim was to investigate the role of computed tomography pulmonary angiography (CTPA) in the diagnosis of right ventricular dysfunction (RVD) and massive pulmonary thromboembolism (PTE). We retrospectively involved a total of 61 patients. In CTPAs, pulmonary arterial obstruction index (PAOI), right ventricular/left ventricular diameter ratio (RV/LV), and superior vena cava (SVC) diameters were calculated, followed by echocardiography (ECHO), and clinical results were evaluated based on the reports available. CTPA findings that included PAOI, RV/LV ratio, and SVC diameter were, respectively, 54.9 +/- A 22.7 %, 1.58 +/- A 0.51, and 20.3 +/- A 0.2 mm in patients with RVD on ECHO, whereas corresponding values were, respectively, 37.8 +/- A 24.2 %, 1.32 +/- A 0.47, and 18.4 +/- A 3.3 mm in those without RVD (respectively, p = 0.006, p = 0.038, and p = 0.026). PAOI was 63.3 +/- A 22.0 % in patients among whom massive PTE was detected and 43.1 +/- A 23.9 % in the group without massive PTE (p = 0.01). As for mortality; given an RV/LV ratio > 1.0, this ratio had 100 % sensitivity and 35.6 % specificity, whereas given a PAOI of a parts per thousand yen50 %, sensitivity and specificity were 83.3 % and 57.8 %, respectively. We concluded that in the patients with PTE, PAOI a parts per thousand yen50 % and RV/LV > 1.0 in CTPA could be helpful to demonstrate RVD.
Açıklama
Anahtar Kelimeler
Computed tomography, Echocardiography, Pulmonary thromboembolism, Right ventricular dysfunction
Kaynak
Japanese Journal of Radiology
WoS Q Değeri
Q4
Scopus Q Değeri
N/A
Cilt
31
Sayı
3
