Multidetector-Row Computed Tomography Management of Acute Pulmonary Embolism

• 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

• Yanagawa Noriyuki

  Department of Radiology, Chiba University Hospital

• Shimizu Hidefumi

  Department of Respirology, Graduate School of Medicine, Chiba University

• Matsubara Hiroshi

  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

• Kasahara Yasunori

  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

• Kuriyama Takayuki

  Department of Respirology, Graduate School of Medicine, Chiba University

Abstract

Background 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. Methods and Results 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. Conclusion Management based on MDCT pulmonary angiography combined with indirect venography is considered to be safe and reliable in patients with suspected acute PE. (Circ J 2007; 71: 1948 - 1954)<br>

Journal

• Circulation Journal

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

  The Japanese Circulation Society

Keywords

• Computed tomography
• Pulmonary embolism
• Vena cava filters

Details

• CRID: 1390282680081279232
• NII Article ID: 110006452882
• NII Book ID: AA11591968
• DOI: 10.1253/circj.71.1948
• ISSN: 13474820
• ISSN: 13469843
• Web Site: http://www.jstage.jst.go.jp/article/circj/71/12/71_12_1948/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2008116759
• Text Lang: en
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed