The role of computed tomography pulmonary angiography in COVID-19 patients with suspected pulmonary embolism
Standard
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, Vol. 124, No. 9, 2023, p. 670-675.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
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 -