The role of computed tomography pulmonary angiography in COVID-19 patients with suspected pulmonary embolism

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The role of computed tomography pulmonary angiography in COVID-19 patients with suspected pulmonary embolism. / Stevik, Martin; Zelenak, Kamil; Dzian, Anton; Jakus, Jan; Trabalkova, Zuzana; Lozan, Daniel; Grendar, Marian; Sykora, Ján; Vorcak, Martin; Malik, Marek; Meyer, Lukas; Kopani, Martin; Fiehler, Jens.

in: BRATISL MED J, Jahrgang 124, Nr. 9, 2023, S. 670-675.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

Stevik, M, Zelenak, K, Dzian, A, Jakus, J, Trabalkova, Z, Lozan, D, Grendar, M, Sykora, J, Vorcak, M, Malik, M, Meyer, L, Kopani, M & Fiehler, J 2023, 'The role of computed tomography pulmonary angiography in COVID-19 patients with suspected pulmonary embolism', BRATISL MED J, Jg. 124, Nr. 9, S. 670-675. https://doi.org/10.4149/BLL_2023_102

APA

Stevik, M., Zelenak, K., Dzian, A., Jakus, J., Trabalkova, Z., Lozan, D., Grendar, M., Sykora, J., Vorcak, M., Malik, M., Meyer, L., Kopani, M., & Fiehler, J. (2023). The role of computed tomography pulmonary angiography in COVID-19 patients with suspected pulmonary embolism. BRATISL MED J, 124(9), 670-675. https://doi.org/10.4149/BLL_2023_102

Vancouver

Bibtex

@article{1a08f6bf701d463dba11394d6ae9999f,
title = "The role of computed tomography pulmonary angiography in COVID-19 patients with suspected pulmonary embolism",
abstract = "OBJECTIVES: This study is aimed to determine the location and distribution of pulmonary embolism (PE) and presence of signs potentially indicative of right heart overload on computed tomography pulmonary angiography (CTPA) in COVID-19 and non-COVID-19 patients. We also evaluated the extent and severity of COVID-19-associated lung changes in relation to PE.METHODS: The total number of 1,698 patients with CTPA included in the study were divided into 2 groups according to their COVID-19 status and each group was divided into 2 subgroups based on their PE status. These groups and subgroups were compared in terms of location of PE, diameter of pulmonary artery, right heart strain, ground-glass opacities (GGO), consolidations and other imaging features.RESULTS: In COVID-19 patients, there was a significant predominance of PE in peripheral branches of pulmonary artery (p < 0.001). There was an increased right-to-left ratio of ventricular diameters in cases with PE (p = 0.032 in patients with COVID-19 and p < 0.001 in non-COVID-19 patients). There was no association between the extent and severity of the disease and distribution of PE.CONCLUSION: COVID-19 is associated with a higher incidence of peripheral location of PE and presence of GGO. There were signs indicative of right heart overload in cases with PE regardless of COVID-19 (Tab. 3, Fig. 1, Ref. 29) Keywords: COVID-19, computed tomography, CTPA, pneumonia, pulmonary embolism.",
keywords = "Humans, COVID-19/complications, Pulmonary Embolism/diagnostic imaging, Heart Ventricles, Tomography, X-Ray Computed, Angiography",
author = "Martin Stevik and Kamil Zelenak and Anton Dzian and Jan Jakus and Zuzana Trabalkova and Daniel Lozan and Marian Grendar and J{\'a}n Sykora and Martin Vorcak and Marek Malik and Lukas Meyer and Martin Kopani and Jens Fiehler",
year = "2023",
doi = "10.4149/BLL_2023_102",
language = "English",
volume = "124",
pages = "670--675",
journal = "BRATISL MED J",
issn = "0006-9248",
publisher = "Comenius University",
number = "9",

}

RIS

TY - JOUR

T1 - The role of computed tomography pulmonary angiography in COVID-19 patients with suspected pulmonary embolism

AU - Stevik, Martin

AU - Zelenak, Kamil

AU - Dzian, Anton

AU - Jakus, Jan

AU - Trabalkova, Zuzana

AU - Lozan, Daniel

AU - Grendar, Marian

AU - Sykora, Ján

AU - Vorcak, Martin

AU - Malik, Marek

AU - Meyer, Lukas

AU - Kopani, Martin

AU - Fiehler, Jens

PY - 2023

Y1 - 2023

N2 - OBJECTIVES: This study is aimed to determine the location and distribution of pulmonary embolism (PE) and presence of signs potentially indicative of right heart overload on computed tomography pulmonary angiography (CTPA) in COVID-19 and non-COVID-19 patients. We also evaluated the extent and severity of COVID-19-associated lung changes in relation to PE.METHODS: The total number of 1,698 patients with CTPA included in the study were divided into 2 groups according to their COVID-19 status and each group was divided into 2 subgroups based on their PE status. These groups and subgroups were compared in terms of location of PE, diameter of pulmonary artery, right heart strain, ground-glass opacities (GGO), consolidations and other imaging features.RESULTS: In COVID-19 patients, there was a significant predominance of PE in peripheral branches of pulmonary artery (p < 0.001). There was an increased right-to-left ratio of ventricular diameters in cases with PE (p = 0.032 in patients with COVID-19 and p < 0.001 in non-COVID-19 patients). There was no association between the extent and severity of the disease and distribution of PE.CONCLUSION: COVID-19 is associated with a higher incidence of peripheral location of PE and presence of GGO. There were signs indicative of right heart overload in cases with PE regardless of COVID-19 (Tab. 3, Fig. 1, Ref. 29) Keywords: COVID-19, computed tomography, CTPA, pneumonia, pulmonary embolism.

AB - OBJECTIVES: This study is aimed to determine the location and distribution of pulmonary embolism (PE) and presence of signs potentially indicative of right heart overload on computed tomography pulmonary angiography (CTPA) in COVID-19 and non-COVID-19 patients. We also evaluated the extent and severity of COVID-19-associated lung changes in relation to PE.METHODS: The total number of 1,698 patients with CTPA included in the study were divided into 2 groups according to their COVID-19 status and each group was divided into 2 subgroups based on their PE status. These groups and subgroups were compared in terms of location of PE, diameter of pulmonary artery, right heart strain, ground-glass opacities (GGO), consolidations and other imaging features.RESULTS: In COVID-19 patients, there was a significant predominance of PE in peripheral branches of pulmonary artery (p < 0.001). There was an increased right-to-left ratio of ventricular diameters in cases with PE (p = 0.032 in patients with COVID-19 and p < 0.001 in non-COVID-19 patients). There was no association between the extent and severity of the disease and distribution of PE.CONCLUSION: COVID-19 is associated with a higher incidence of peripheral location of PE and presence of GGO. There were signs indicative of right heart overload in cases with PE regardless of COVID-19 (Tab. 3, Fig. 1, Ref. 29) Keywords: COVID-19, computed tomography, CTPA, pneumonia, pulmonary embolism.

KW - Humans

KW - COVID-19/complications

KW - Pulmonary Embolism/diagnostic imaging

KW - Heart Ventricles

KW - Tomography, X-Ray Computed

KW - Angiography

U2 - 10.4149/BLL_2023_102

DO - 10.4149/BLL_2023_102

M3 - SCORING: Journal article

C2 - 37635663

VL - 124

SP - 670

EP - 675

JO - BRATISL MED J

JF - BRATISL MED J

SN - 0006-9248

IS - 9

ER -