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

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• 作者：Juana Marí ; a Plasencia-Martí ; nez^a ; ¹ ; ^{plasen79@gmail.com} ; ^{plasen79@hotmail.com} ; Alberto Carmona-Bayonas^b ; ¹ ; David Calvo-Temprano^c ; Paula Jimé ; nez-Fonseca^d ; Francisco Fenoy^e ; Mariana Benegas^f ; Marcelo Sá ; nchez^f ; Carme Font^g ; Diego Varona^h ; David Martí ; nez de la Hazaⁱ ; Jesú ; s Pueyo^j ; Mercè ; Biosca^k ; Maite Antonio^l ; Carmen Beato^m ; Pilar Solí ; s^d ; Laura Fá ; ez^d ; Irma de al Habaⁿ ; Susana Herná ; ndez-Muñ ; iz^o ; Olga Madridano^p ; Mar Martí ; n^p ; Eduardo Castañ ; ó ; n^q ; Avinash Ramchandani^r ; Pablo Marchena^s ; Manuel Sá ; nchez-Cá ; novas^b ; Marí ; a Á ; ngeles Vicente^b ; Mari José ; Martí ; nez^t ; Á ; ngela Ferná ; ndez-Plaza^u ; Lourdes Martí ; nez-Encarnació ; n^u ; Alejandro Puerta^v ; Á ; ngel Domí ; nguez^w ; Daniel Rodrí ; guez^x ; Gema Marí ; n^y ; Remedios Otero^z ; Fernando Sá ; nchez-Lasheras^A ; Vicente Vicente^b
• 关键词：PE ; pulmonary embolism ; CT ; computed tomography ; CTPA ; computed tomography pulmonary angiography ; RV ; right ventricle ; LV ; left ventricle ; RV/LV ; right ventricular to left ventricular ratio ; IVS ; interventricular septum ; QI ; Qanadli pulmonary arterial obstruction index ; CPHT ; chronic pulmonary hypertension ; PA ; pulmonary artery ; AA ; ascending aorta ; IVC ; inferior vena cava ; SVC ; superior vena cava ; Az ; azigos vein ; CI ; confidence interval ; IQR ; interquartile range ; Std. Error ; standard error ; RO
• 刊名：European Journal of Radiology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：87
• 期：Complete
• 页码：66-75
• 全文大小：942 K
• 卷排序：87

文摘

CTPA can predict the prognosis of pulmonary embolism in cancer patients. Right ventricular dysfunction (RVD) is predictive of complications at 15 days. The Frank-Starling mechanism is the theoretical framework to interpret RVD signs. Pulmonary artery obstruction plays a pathophysiological role only in subjects with RVD. A proposal for an explanation of clinical-radiological dissociation is presented.