Long-term outcome of patients with persistent vascular obstruction on computed tomography pulmonary angiography 6 months after acute pulmonary embolism

BACKGROUND: The incidence and clinical significance of pulmonary residual thrombosis 6 months after an acute pulmonary embolism (PE) are still not well-known.

PURPOSE: To evaluate the association between residual vascular obstruction and the risk of venous thromboembolism (VTE) recurrence or death.

MATERIAL AND METHODS: Computed tomography pulmonary angiography (CTPA) was repeated in 97 consecutive patients 6 months after an acute episode of hemodynamically stable pulmonary embolism. We assessed the long-term consequences of residual thrombosis on vital status and incidence of recurrent VTE.

RESULTS: Six patients were lost for follow-up. The remaining 91 patients were classified according to the presence (Group 1: 18 cases) or absence (Group 2: 73 cases) of residual pulmonary vascular obstruction. After a mean ± SD of 2.91 ± 0.99 years, there were eight (8.8%) deaths and 11 (12.1%) VTE recurrences. Groups 1 and 2 did not differ in the incidence of death or VTE recurrence.

CONCLUSION: Persistent pulmonary vascular obstruction on 6-month CTPA did not predict long-term adverse outcome events.

Medienart:

E-Artikel

Erscheinungsjahr:

2012

Erschienen:

2012

Enthalten in:

Zur Gesamtaufnahme - volume:53

Enthalten in:

Acta radiologica (Stockholm, Sweden : 1987) - 53(2012), 7 vom: 01. Sept., Seite 728-31

Sprache:

Englisch

Beteiligte Personen:

Golpe, Rafael [VerfasserIn]
de Llano, Luis A Pérez [VerfasserIn]
Castro-Añón, Olalla [VerfasserIn]
Vázquez-Caruncho, Manuel [VerfasserIn]
González-Juanatey, Carlos [VerfasserIn]
Fariñas, María Carmen [VerfasserIn]

Links:

Volltext

Themen:

Contrast Media
Ioversol
Journal Article
N3RIB7X24K
Triiodobenzoic Acids

Anmerkungen:

Date Completed 29.11.2012

Date Revised 30.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1258/ar.2012.110697

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM219877734