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Master Thesis

Embolie pulmonaire sans signe clinique de gravité‎ : apport pronostique de l'angioscanner thoracique

Abstract : The objective was to retrospectively evaluate computed tomographic (CT) cardiovascular parameters as predictor of 3-month mortality in patients with clinically non-severe pulmonary embolism (PE). 226 CT scans positive for PE (112 women, 114 men ; mean age 67,1years ±16,9) were included. CT were independently reviewed by two observers for clot burden and cardiovascular CT parameters. Results were compared with risk of death by using logistic regression. 24 (10.6%) patients died. RV/LV diameter ratio>1, was predictive of death (OR, 3,83 ; p<0,01), only when we took into account the value of embolic burden (<40%), with high interobserver variability (r=0.76). In multivariate model, CT cardiovasculars parameters were not associated with death with the exception of main pulmonary artery (PA) diameter (OR,1.1 ; p=0.04). In our study, VD/VG diameter ratio>1 is predictive of death when embolic burden is low (<40%), but with high degree of interobserver variability.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00633539
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Submitted on : Tuesday, October 18, 2011 - 4:54:06 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
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  • HAL Id : dumas-00633539, version 1

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Anne-Line Moroni. Embolie pulmonaire sans signe clinique de gravité‎ : apport pronostique de l'angioscanner thoracique. Human health and pathology. 2008. ⟨dumas-00633539⟩

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