Document Detail


Long-term outcome of patients with persistent vascular obstruction on computed tomography pulmonary angiography 6 months after acute pulmonary embolism.
MedLine Citation:
PMID:  22850574     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BackgroundThe incidence and clinical significance of pulmonary residual thrombosis 6 months after an acute pulmonary embolism (PE) are still not well-known.PurposeTo evaluate the association between residual vascular obstruction and the risk of venous thromboembolism (VTE) recurrence or death.Material and MethodsComputed 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.ResultsSix 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.ConclusionPersistent pulmonary vascular obstruction on 6-month CTPA did not predict long-term adverse outcome events.
Authors:
Rafael Golpe; Luis A Pérez de Llano; Olalla Castro-Añón; Manuel Vázquez-Caruncho; Carlos González-Juanatey; María Carmen Fariñas
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-31
Journal Detail:
Title:  Acta radiologica (Stockholm, Sweden : 1987)     Volume:  -     ISSN:  1600-0455     ISO Abbreviation:  Acta Radiol     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-8-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706123     Medline TA:  Acta Radiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
The Respiratory Service.
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