Postcontrast Acute Kidney Injury After Computed Tomography Pulmonary Angiography for Acute Pulmonary Embolism

Despite the widespread use of computed tomography pulmonary angiography with contrast media for the diagnosis of acute pulmonary embolism, high-quality evidence on risk factors for postcontrast acute kidney injury related to its use is lacking.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Selected Topics: Emergency Radiology Source Type: research

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CONCLUSIONS: The current diagnostic models for PE lead to a large number of unnecessary explorations. The new models could reduce the number of APTC although with a minimum risk of false negatives. PMID: 31780215 [PubMed - as supplied by publisher]
Source: Medicina Clinica - Category: General Medicine Tags: Med Clin (Barc) Source Type: research
AbstractOur knowledge about the incidence of pulmonary embolism (PE) and the performance of age adjusted D-dimers (Dd) cutoff amongst patients with lung cancer (LC) and suspected PE, remains limited. We retrospectively analyzed all clinically suspected patients who underwent computed tomography pulmonary angiography (CTPA) in a tertiary hospital during a 19  month period. Cancer diagnosis was established using ICD10 code. Eligible for Dd analysis were those tested up to 24 h prior to the scan. We analyzed 2549 patients (54.6% males, median age 68.8 years, IQR 57–78), 15.8% had active LC and 5.4% other ...
Source: Journal of Thrombosis and Thrombolysis - Category: Hematology Source Type: research
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pulmonary Embolism;   Pregnancy Related;   Venous Thromboembolism Intervention:   Diagnostic Test: OPTICA CTPA Protocol Sponsors:   University College Dublin;   Mater Misericordiae University Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
We report the case of a middle-aged woman presenting to the emergency department with shock who was diagnosed with massive pulmonary embolism based on point-of-care ultrasound (POCUS). We are hereby discussing the usefulness of POCUS in this subset of PE patients, highlighting the importance of considering ultrasound as a first-line diagnostic (and monitoring) tool for each patient with suspicion of massive PE.
Source: Journal of Ultrasound - Category: Radiology Source Type: research
AbstractWe systematically review the potential role of left atrial (LA) size, evaluated at computed tomography angiography (CTA) in patients with acute pulmonary embolism (PE), as a new parameter of PE severity. A literature search based on PubMed (MEDLINE), Scopus, Cochrane library and Google Scholar databases was performed to locate previous published investigations reporting data on the severity of acute PE based on the evaluation of LA size (either volume, diameter or area). Six studies, corresponding to a total of 990 patients, published between 2012 and 2019 were included into the analysis. The severity of acute PE, ...
Source: Journal of Thrombosis and Thrombolysis - Category: Hematology Source Type: research
Conclusions: PERC criteria application in this tertiary respiratory ED setting would have successfully identified patients from the general population that did not require CTPAs to exclude a PE and would reduce the costs but would have failed to be clinically useful in LC patients which seems to be an important limitation
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Lung cancer Source Type: research
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