Prognostic value of computed tomography pulmonary angiography indices in patients with cancer-related pulmonary embolism: Data from a multicenter cohort.

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Transcripción de la presentación:

Prognostic value of computed tomography pulmonary angiography indices in patients with cancer-related pulmonary embolism: Data from a multicenter cohort study Juana María Plasencia-Martínez, Alberto Carmona-Bayonas, David Calvo-Temprano, Paula Jiménez-Fonseca, Francisco Fenoy, Mariana Benegas, Marcelo Sánchez, Carme Font, Diego Varona, David Martínez de la Haza, Jesús Pueyo, Mercè Biosca, Maite Antonio, Carmen Beato, Pilar Solís, Laura Fáez, Irma de al Haba, Susana Hernández-Muñiz, Olga Madridano, Mar Martín, Eduardo Castañón, Avinash Ramchandani, Pablo Marchena, Manuel Sánchez-Cánovas, María Ángeles Vicente, Mari José Martínez, Ángela Fernández-Plaza, Lourdes Martínez-Encarnación, Alejandro Puerta, Ángel Domínguez, Daniel Rodríguez, Gema Marín, Remedios Otero, Fernando Sánchez-Lasheras, Vicente Vicente European Journal of Radiology Volume 87, Pages 66-75 (February 2017) DOI: 10.1016/j.ejrad.2016.12.010 Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 1 (a) Annotated axial CTPA image showing an example of the right ventricle (e.g., 6.09cm) diameter measurement (black line) in a 70-year old man with acute pulmonary embolism. (b) Annotated axial CTPA image corresponding to the same patient as Fig. 1a, illustrating the measurement of the LV diameter (e.g. 2.65cm) (black line). The RV/LV diameter ratio was 6.09/2.65=2.30 in this case. European Journal of Radiology 2017 87, 66-75DOI: (10.1016/j.ejrad.2016.12.010) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 2 (a) Axial CTPA image illustrating the morphology of a normal interventricular septum (black arrows), with a partial (white arrow) and a complete (double white arrow) thrombotic obstruction in segmental pulmonary arteries of the lower lobes, in a 60-year old man with cancer-related multiple bilateral pulmonary embolism. (b) Axial CTPA image of a flattened interventricular septum (black arrows) in a woman aged 73 with acute pulmonary embolism. (c) Axial CTPA images showing an inverted interventricular septum (black arrows) in a 33-year-old man with severe pulmonary embolism (white arrows). European Journal of Radiology 2017 87, 66-75DOI: (10.1016/j.ejrad.2016.12.010) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 3 Percentages represent rates of serious complications at 15days in each subset. QI is only associated with serious complications in patients with dilated RV, inverted IVS, or prior cardiopulmonary disease, likely because the Starling mechanism fails in compensating the pressure against which the RV must pump the blood. Abbreviations: RV=right ventricle, QI=Qanadli obstruction index, IVS=interventricular septum, chronic cardiopulmonary disease=chronic cardiovascular disease, chronic pulmonary obstructive disease, emphysema, chronic pulmonary embolism, pulmonary fibrosis, or radiation pneumonitis. P-values were calculated from Pearson's chi-squared tests (χ2). No expected count in the table is less than 5. European Journal of Radiology 2017 87, 66-75DOI: (10.1016/j.ejrad.2016.12.010) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

European Journal of Radiology 2017 87, 66-75DOI: (10. 1016/j. ejrad Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions