Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Diagnostic value of transoesophageal echocardiography in suspected haemodynamically significant pulmonary embolism
Autore:
Pruszczyk, P; Torbicki, A; Kuch-Wocial, A; Szulc, M; Pacho, R;
Indirizzi:
Med Univ Warsaw, Dept Internal Med & Hypertens, PL-02097 Warsaw, Poland Med Univ Warsaw Warsaw Poland PL-02097 ypertens, PL-02097 Warsaw, Poland Inst Lung Dis & TB, Warsaw, Poland Inst Lung Dis & TB Warsaw PolandInst Lung Dis & TB, Warsaw, Poland Med Univ Warsaw, Dept Radiol, PL-02097 Warsaw, Poland Med Univ Warsaw Warsaw Poland PL-02097 t Radiol, PL-02097 Warsaw, Poland
Titolo Testata:
HEART
fascicolo: 6, volume: 85, anno: 2001,
pagine: 628 - 634
SICI:
1355-6037(200106)85:6<628:DVOTEI>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
RIGHT-VENTRICULAR DYSFUNCTION; ACUTE COR-PULMONALE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; THROMBOEMBOLISM; HYPERTENSION; MANAGEMENT; REGISTRY; ARTERY; CT;
Keywords:
pulmonary embolism; transoesophageal echocardiography;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Pruszczyk, P Med Univ Warsaw, Dept Internal Med & Hypertens, Banacha 1A, PL-02097 Warsaw, Poland Med Univ Warsaw Banacha 1A Warsaw Poland PL-02097 aw, Poland
Citazione:
P. Pruszczyk et al., "Diagnostic value of transoesophageal echocardiography in suspected haemodynamically significant pulmonary embolism", HEART, 85(6), 2001, pp. 628-634

Abstract

Objective - To assess the value of transoesophageal echocardiography (TOE)for diagnosing suspected haemodynamically si,significant pulmonary embolism and signs of right ventricular overload at standard echocardiography. Methods - 113 consecutive patients (58 male; 55 female), mean (SD) age 53.6 (13.3) years, in whom there was clinical suspicion of pulmonary embolism and right ventricular overload on transthoracic echocardiography, underwentTOE in addition to routine diagnostic procedures to identify pulmonary artery thrombi. Results - TOE revealed thrombi in 32 of 51 patients who had suspected acute pulmonary embolism and in 31 of 62 with suspected chronic pulmonary embolism. In one patient a pulmonary angiosarcoma rather than chronic pulmonary embolism was found at surgery. The diagnosis of pulmonary embolism was confirmed in 77 patients by scintigraphy, spiral computed tomography, angiography, or necropsy (reference methods). While TOE failed to provide a diagnosis of pulmonary embolism in 15 of these 77 patients, no false positive findings were reported (sensitivity 80.5%, specificity 97.2%). In 11 and 26 cases, respectively, the thrombi were confined to the left or right pulmonary artery. Bilateral thrombi were found in 25 patients. Mobile thrombi were observed only in acute pulmonary embolism (in 19 of 32 patients). No complications of TOE were noted. Conclusions - TOE permits visualisation of pulmonary arterial thrombi, confirming the diagnosis in the majority of patients with pulmonary embolism and right ventricular overload. This may be useful for prompt decision making in patients with haemodynamic compromise considered for thrombolysis or embolectomy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 09:34:01