Multidetector-Row Computed Tomography Management of Acute Pulmonary Embolism

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Author(s)

    • YASUI Takahiro
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • TANABE Nobuhiro
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • TERADA Jiro
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • SHIMIZU Hidefumi
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • HOSHINO Susumu
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • FUJIKAWA Ayako
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • MIZUNO Satoko
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • YATOMI Mari
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • SAKAO Seiichiro
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • URUMA Takahiro
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • TAKIGUCHI Yuichi
    • Department of Respirology, Graduate School of Medicine, Chiba University
    • TATSUMI Koichiro
    • Department of Respirology, Graduate School of Medicine, Chiba University

Abstract

<b>Background</b> The purpose of this study was to evaluate the usefulness and safety of multidetector-row computed tomography (MDCT) pulmonary angiography and indirect venography management of acute pulmonary embolism (PE), including indication for inferior vena cava (IVC) filter. <b>Methods and Results</b> Seventy-one consecutive patients who were clinically suspected of PE and underwent 16-slice MDCT pulmonary angiography and indirect venography were enrolled. Management included indication of IVC filter for patients with extensive deep venous thrombosis (DVT) in submassive or massive PE. A right ventricular to left ventricular short-axis diameter by MDCT >1.0 was judged as submassive PE. All patients were followed for 1 year. MDCT identified 50 patients with venous thromboembolism and 47 patients had acute PE: 4 were judged as massive, 14 as submassive, and 29 as non-massive by MDCT; 3 patients had DVT alone and 7 patients had caval or iliac DVT. Only 1 patient with massive PE and DVT near the right atrium died of recurrence. No other patients died of PE. <b>Conclusion</b> Management based on MDCT pulmonary angiography combined with indirect venography is considered to be safe and reliable in patients with suspected acute PE. (<i>Circ J</i> 2007; <b>71:</b> 1948 - 1954)<br>

Journal

  • Circulation Journal

    Circulation Journal 71(12), 1948-1954, 2007-11-20

    Japanese Circulation Society

References:  25

Cited by:  5

Codes

  • NII Article ID (NAID)
    110006452882
  • NII NACSIS-CAT ID (NCID)
    AA11591968
  • Text Lang
    ENG
  • Article Type
    Journal Article
  • ISSN
    13469843
  • Data Source
    CJP  CJPref  NII-ELS  J-STAGE 
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