Predicting the Success of Emergency Surgical Treatment of Acute Massive Pulmonary Embolism Based on the Results of Multislice Computed Tomography
Objective – to assess the informativeness of multisclice computed tomography (MSCT) angiopulmonography in the assessment of peripheral blood flow and to determine the prognostic role of angiographic massiveness and volume of preserved peripheral blood flow as predictors of success of emergency surgi...
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| Format: | Article |
| Language: | English |
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Luchevaya Diagnostika, LLC
2020-01-01
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| Series: | Вестник рентгенологии и радиологии |
| Subjects: | |
| Online Access: | https://www.russianradiology.ru/jour/article/view/518 |
| _version_ | 1797341636588470272 |
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| author | T. N. Trofimova M. B. Sukhova |
| author_facet | T. N. Trofimova M. B. Sukhova |
| author_sort | T. N. Trofimova |
| collection | DOAJ |
| description | Objective – to assess the informativeness of multisclice computed tomography (MSCT) angiopulmonography in the assessment of peripheral blood flow and to determine the prognostic role of angiographic massiveness and volume of preserved peripheral blood flow as predictors of success of emergency surgical treatment of acute massive pulmonary embolism (PE). Material and methods. The article presents the results of 7-year work for the period from March 2012 to September 2019, which included a pilot retrospective stage (analysis of the results of 264 MSCT procedures with contrast enhancement for acute PE in patients aged 32 to 69 years for the period 2012–2013) and prognostic practical work (the second stage, analysis of the results of 974 MSCT procedures with contrast enhancement in patients aged 25 to 78 years for the period 2013–2019).Results. The obtained results and statistical dependences proved the influence of the saved volume of peripheral arterial pulmonary blood flow on the outcome of surgical treatment. The use of this indicator as an MSCT predictor reduced the hospital mortality rate from 7.2% to 3.5%. The analysis of the influence of the initial angiographic massiveness of PE on the outcome of surgical treatment has not been confirmed.Conclusion. According to the results of the study, we recommend the inclusion of segmental arterial pulmonary blood flow analysis by MSCT with contrast enhancement in the algorithm of preoperative examination of patients with acute massive pulmonary embolism in case of emergency surgical treatment. |
| first_indexed | 2024-03-08T10:21:52Z |
| format | Article |
| id | doaj.art-a9a7407207f94cbeb7b955c3739d1ec3 |
| institution | Directory Open Access Journal |
| issn | 0042-4676 2619-0478 |
| language | English |
| last_indexed | 2024-03-08T10:21:52Z |
| publishDate | 2020-01-01 |
| publisher | Luchevaya Diagnostika, LLC |
| record_format | Article |
| series | Вестник рентгенологии и радиологии |
| spelling | doaj.art-a9a7407207f94cbeb7b955c3739d1ec32024-01-27T18:38:36ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782020-01-01100636337110.20862/0042-4676-2019-100-6-363-371313Predicting the Success of Emergency Surgical Treatment of Acute Massive Pulmonary Embolism Based on the Results of Multislice Computed TomographyT. N. Trofimova0M. B. Sukhova1Pavlov First Saint Petersburg State Medical University, Ministry of Health of the Russian FederationKorolev Specialized Cardiosurgical Clinical HospitalObjective – to assess the informativeness of multisclice computed tomography (MSCT) angiopulmonography in the assessment of peripheral blood flow and to determine the prognostic role of angiographic massiveness and volume of preserved peripheral blood flow as predictors of success of emergency surgical treatment of acute massive pulmonary embolism (PE). Material and methods. The article presents the results of 7-year work for the period from March 2012 to September 2019, which included a pilot retrospective stage (analysis of the results of 264 MSCT procedures with contrast enhancement for acute PE in patients aged 32 to 69 years for the period 2012–2013) and prognostic practical work (the second stage, analysis of the results of 974 MSCT procedures with contrast enhancement in patients aged 25 to 78 years for the period 2013–2019).Results. The obtained results and statistical dependences proved the influence of the saved volume of peripheral arterial pulmonary blood flow on the outcome of surgical treatment. The use of this indicator as an MSCT predictor reduced the hospital mortality rate from 7.2% to 3.5%. The analysis of the influence of the initial angiographic massiveness of PE on the outcome of surgical treatment has not been confirmed.Conclusion. According to the results of the study, we recommend the inclusion of segmental arterial pulmonary blood flow analysis by MSCT with contrast enhancement in the algorithm of preoperative examination of patients with acute massive pulmonary embolism in case of emergency surgical treatment.https://www.russianradiology.ru/jour/article/view/518contrast-enhanced multislice computed tomographyacute massive pulmonary embolismmsct angiopulmonographyemergency thrombembolectomy |
| spellingShingle | T. N. Trofimova M. B. Sukhova Predicting the Success of Emergency Surgical Treatment of Acute Massive Pulmonary Embolism Based on the Results of Multislice Computed Tomography Вестник рентгенологии и радиологии contrast-enhanced multislice computed tomography acute massive pulmonary embolism msct angiopulmonography emergency thrombembolectomy |
| title | Predicting the Success of Emergency Surgical Treatment of Acute Massive Pulmonary Embolism Based on the Results of Multislice Computed Tomography |
| title_full | Predicting the Success of Emergency Surgical Treatment of Acute Massive Pulmonary Embolism Based on the Results of Multislice Computed Tomography |
| title_fullStr | Predicting the Success of Emergency Surgical Treatment of Acute Massive Pulmonary Embolism Based on the Results of Multislice Computed Tomography |
| title_full_unstemmed | Predicting the Success of Emergency Surgical Treatment of Acute Massive Pulmonary Embolism Based on the Results of Multislice Computed Tomography |
| title_short | Predicting the Success of Emergency Surgical Treatment of Acute Massive Pulmonary Embolism Based on the Results of Multislice Computed Tomography |
| title_sort | predicting the success of emergency surgical treatment of acute massive pulmonary embolism based on the results of multislice computed tomography |
| topic | contrast-enhanced multislice computed tomography acute massive pulmonary embolism msct angiopulmonography emergency thrombembolectomy |
| url | https://www.russianradiology.ru/jour/article/view/518 |
| work_keys_str_mv | AT tntrofimova predictingthesuccessofemergencysurgicaltreatmentofacutemassivepulmonaryembolismbasedontheresultsofmultislicecomputedtomography AT mbsukhova predictingthesuccessofemergencysurgicaltreatmentofacutemassivepulmonaryembolismbasedontheresultsofmultislicecomputedtomography |