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C-1556 - Prognostic role of CT pulmonary angiography findings that predict 30-day mortality in gynecologic patients with acute pulmonary embolism

J. Su1, T. Jiang2; 1 BEIJING/CN 2 Beijing/CN Type: Scientific Exhibit
Area of Interests: Emergency, Cardiovascular system
Imaging Technique: CT-Angiography
Procedures: Thrombolysis, Computer Applications-Detection, diagnosis
Special Focus: Embolism / Thrombosis
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Aims and objectives: Pulmonary embolism (PE) is a potentially life threatening complication following major surgery associated with significant morbidity and mortality. Hence, the identification of prognostic factors in patients with acute PE is of high importance, particularly while trying to make appropriate clinical [...]

Methods and materials: Patients  Between January 2008 and June 2016, 278 patients who underwent combined CT examinations due to suspected PE (respiratory symptoms) or who required an evaluation for possible PE and DVT due to atypical respiration with lower extremity symptoms and D-dimer elevation after undergoing gy[...]

Results: Baseline patient characteristics and deaths Finally, a total of 77 consecutive patients with acute PE diagnosed from 278 patients were included in this retrospective study (27.7%, 77/278). These studies involved women aged from 30 to 80 years (mean age, 59.31± 11.26 years old). The etiology were o[...]

Conclusion:   In conclusion, acute PE patients after gynecological surgery have mortality rate of 5.2%. Neither cardiovascular CT parameters or PAOI is predictive of the mortality in gynecological patients with acute PE. However, concomitant lower limb proximal DVT was a predictor of 30-day mortality.

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References: [1] Perrier A, Roy PM, Sanchez O, et al. Multidetector-row computed tomography in suspected pulmonary embolism . N Engl J Med 2005;28(352):1760–1768. [2] van Belle A, Büller HR, Huisman MV, et al. Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probabilit[...]

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