Seminars in Roentgenology
Volume 40, Issue 1 , Pages 25-32 , January 2005

Severity assessment of acute pulmonary embolism: Role of CT angiography

  • Gilbert R. Ferretti

      Affiliations

    • Department of Radiology, CHU Grenoble, BP 217, 38043 Grenoble Cedex, France.
    • Corresponding Author InformationAddress reprint requests to: Gilbert R. Ferretti, MD, PhD, Service Central de Radiologie et Imagerie Médicale, CHU Grenoble, BP 217, 38043 Grenoble Cedex, France.
    • ,
  • Delphine Collomb

      Affiliations

    • Department of Radiology, CHU Grenoble, BP 217, 38043 Grenoble Cedex, France.
    • ,
  • Jean Noel Ravey

      Affiliations

    • Department of Radiology, CHU Grenoble, BP 217, 38043 Grenoble Cedex, France.
    • ,
  • Gerald Vanzetto

      Affiliations

    • Department of Cardiology, CHU Grenoble, BP 217, 38043 Grenoble Cedex, France.
    • ,
  • Max Coulomb

      Affiliations

    • Department of Radiology, CHU Grenoble, BP 217, 38043 Grenoble Cedex, France.
    • ,
  • Ivan Bricault

      Affiliations

    • Department of Radiology, CHU Grenoble, BP 217, 38043 Grenoble Cedex, France.

References 

  1. Lilienfeld DE , Chan E , Ehland J , et al.   Mortality from pulmonary embolism in the United States (1962 to 1984) . Chest . 1990;98:1067–1072
  2. Rémy-Jardin M , Remy J , Artaud D , Deschildre F , Duhamel A . Peripheral pulmonary arteries (optimization of the spiral CT acquisition protocol) . Radiology . 1997;204:157–163
  3. Goodman LR , Curtin JJ , Mewissen MW , et al.   Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis (helical CT versus angiography) . Am J Roentgenol . 1995;164:1369–1374
  4. Ferretti GR , Bosson JL , Buffaz PD , et al.   Acute pulmonary embolism (role of helical CT in 164 patients with intermediate probability at ventilation perfusion scintigraphy and normal results at duplex US of the legs) . Radiology . 1997;205:453–458
  5. Qanadli SD , El Hajjam M , Viellard-Baron A , et al.   New CT index to quantify arterial obstruction in pulmonary embolism (comparison with angiographic index and echocardiography) . Am J Roentgenol . 2001;176:1415–1420
  6. Van Rossum AB , Pattynama PMT , Tjin A , et al.   Pulmonary embolism (validation of spiral CT angiography in 149 patients) . Radiology . 1996;201:467–470
  7. Ghaye B , Remy J , Rémy-Jardin M . Non-traumatic thoracic emergencies: CT diagnosis of acute pulmonary embolism: the first 10 years . Eur Radiol . 2002;12:1886–1905
  8. Schoepf UJ , Costello P . CT angiography for diagnosis of pulmonary embolism (state of the art) . Radiology . 2004;230:329–337
  9. Arcasoy SM , Kreit JW . Thrombolytic therapy of pulmonary embolism. A comprehensive study review of current evidence . Chest . 1999;115:1695–1707
  10. Reid JH , Murchison JT . Acute right ventricular dilatation (a new helical CT sign of massive pulmonary embolism) . Clin Radiol . 1998;53:694–698
  11. Bankier AA , Janata K , Fleischmann D , et al.   Severity assessment of acute pulmonary embolism with spiral CT (evaluation of two modified angiographic scores and comparison with clinical data) . J Thorac Imaging . 1997;12:150–158
  12. Grifoni S , Olivotto I , Cecchini P , et al.   Short-term clinical outcome of patients with acute pulmonary embolism, normal blood pressure, and echocardiographic right ventricular dysfunction . Circulation . 2000;101:2817–2822
  13. Jardin F , Dubourg O , Bourdarias JP . Echocardiographic pattern of acute cor pulmonale . Chest . 1997;111:209–217
  14. Nazeyrollas P , Metz D , Jolly D , et al.   Use of transthoracic Doppler echocardiography combined with clinical and electrocardiographic data to predict acute pulmonary embolism . Eur Heart J . 1996;17:779–786
  15. Kasper W , Meinertz T , Henkel B , et al.   Echocardiographic findings in patients with proved pulmonary embolism . Am Heart J . 1986;112:1284–1290
  16. Pruszczyk P , Torbicki A , Pacho R , et al.   Noninvasive diagnosis of suspected severe pulmonary embolism (transesophageal echocardiography vs spiral CT) . Chest . 1997;112:722–728
  17. Steiner P , Lund GK , Debatin JF , et al.   Acute pulmonary embolism (value of transthoracic and transesophageal echocardiography in comparison with helical CT) . Am J Roentgenol . 1996;167:931–936
  18. Oliver TB , Reid JH , Murchison JT . Interventricular septal shift due to massive pulmonary embolism shown by CT pulmonary angiography (an old sign revisited) . Thorax . 1998;53:1092–1094
  19. Wintersperger BJ , Stabler A , Seemann M , et al.   Evaluation of right heart load with spiral CT in patients with acute lung embolism . Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr . 1999;170:542–549
  20. Contractor S , Maldjian PD , Sharma VK , Gor DM . Role of helical CT in detecting right ventricular dysfunction secondary to acute pulmonary embolism . J Comput Assist Tomogr . 2002;26:587–591
  21. Collomb D , Paramelle PJ , Calaque O , et al.   Severity assessment of acute pulmonary embolism (evaluation using helical CT) . Eur Radiol . 2003;13:1508–1514
  22. Araoz PA , Gotway MB , Trowbridge RL , et al.   Helical CT pulmonary angiography predictors of in-hospital morbidity and mortality in patients with acute pulmonary embolism . J Thorac Imaging . 2003;18:207–216
  23. Wu AS , Pezzullo JA , Cronan JJ , Hou DD , Mayo-Smith WW . CT pulmonary angiography (quantification of pulmonary embolus as a predictor of patient outcome-initial experience) . Radiology . 2004;230:831–835
  24. Wood KE . Major pulmonary embolism. Review of pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism . Chest . 2002;121:877–905
  25. Elliot CG . Pulmonary physiology during pulmonary embolism . Chest . 1992;101:163–171
  26. Azarian R , Wartski M , Collignon MA , et al.   Lung perfusion scans and hemodynamics in acute and chronic pulmonary embolism . J Nuc Med . 1997;38:980–983
  27. Come PC . Echocardiographic evaluation of pulmonary embolism and its response to therapeutic interventions . Chest . 1992;101:151–162
  28. Kasper W , Geibel A , Tiede N , et al.   Distinguishing between acute and subacute massive pulmonary embolism by conventional and Doppler echocardiography . Br Heart J . 1993;70:352–356
  29. Blum AG , Delfau F , Grignon B , et al.   Spiral-computed tomography versus pulmonary angiography in the diagnosis of acute massive pulmonary embolism . Am J Cardiol . 1994;74:96–98
  30. Miller GA , Sutton GC , Kerr IH , Gibson RV , Honey M . Comparison of streptokinase and heparin in treatment of isolated acute massive pulmonary embolism . Br Med J . 1971;2:681–684
  31. Walsh PN , Greenspan RH , Simon M , et al.   An angiographic severity index for pulmonary embolism . Circulation . 1973;S47/48:101–108
  32. Mastora O , Rémy-Jardin M , Masson P , et al.   Severity of acute pulmonary embolism (evaluation of a new spiral CT angiographic score in correlation with echocardiographic data) . Eur Radiol . 2003;13:29–35
  33. Chapoutot L , Metz D , Jolly D , et al.   Intérêt diagnostique, pronostique et thérapeutique de l’échographie Doppler dans l’embolie pulmonaire (à propos de 41 cas) . Ann Cardiol Angiol (Paris) . 1989;38:523–529
  34. Chintapalli K , Thorsen MK , Olson DL , Goodman LR , Gurney J . Computed tomography of pulmonary thromboembolism and infarction . J Comput Assist Tomogr . 1988;12:553–559
  35. Kuriyama K , Gamsu G , Stern RG , et al.   CT-determined pulmonary artery diameters in predicting pulmonary hypertension . Invest Radiol . 1984;19:16–22
  36. Schoepf UJ , Kessler MA , Rieger CT , et al.   Multislice CT imaging of pulmonary embolism . Eur Radiol . 2001;11:2278–2286

PII: S0037-198X(04)00105-1

doi: 10.1053/j.ro.2004.09.004

Seminars in Roentgenology
Volume 40, Issue 1 , Pages 25-32 , January 2005

Article Tools

* Image Usage & Resolution