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Complications in COVID-19 patients: Characteristics of pulmonary embolism.
Cau, Riccardo; Pacielli, Alberto; Fatemeh, Homayounieh; Vaudano, Paolo; Arru, Chiara; Crivelli, Paola; Stranieri, Giuseppe; Suri, Jasjit S; Mannelli, Lorenzo; Conti, Maurizio; Mahammedi, Abdelkader; Kalra, Mannudeep; Saba, Luca.
  • Cau R; Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554, Monserrato (Cagliari) 09045, Italy.
  • Pacielli A; Department of Radiology, Ospedale S. Giovanni Bosco, 10154 Turin, Italy.
  • Fatemeh H; Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA.
  • Vaudano P; Department of Radiology, Ospedale S. Giovanni Bosco, 10154 Turin, Italy.
  • Arru C; Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554, Monserrato (Cagliari) 09045, Italy.
  • Crivelli P; Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Sassari - Sassari, Italy.
  • Stranieri G; Department of Radiology, Ospedale S. Giovanni Bosco, 10154 Turin, Italy.
  • Suri JS; Stroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA, USA.
  • Mannelli L; IRCSS SDN, Napoli, Italy.
  • Conti M; Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Sassari - Sassari, Italy.
  • Mahammedi A; Department of Neuroradiology, University of Cincinnati Medical Center, OH 45267, USA.
  • Kalra M; Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA.
  • Saba L; Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari - Polo di Monserrato s.s. 554, Monserrato (Cagliari) 09045, Italy. Electronic address: lucasaba@tiscali.it.
Clin Imaging ; 77: 244-249, 2021 Sep.
Article in English | MEDLINE | ID: covidwho-1233394
ABSTRACT

OBJECTIVE:

The purpose of this study is to evaluate chest CT imaging features, clinical characteristics, laboratory values of COVID-19 patients who underwent CTA for suspected pulmonary embolism. We also examined whether clinical, laboratory or radiological characteristics could be associated with a higher rate of PE. MATERIALS AND

METHODS:

This retrospective study included 84 consecutive patients with laboratory-confirmed SARS-CoV-2 who underwent CTA for suspected PE. The presence and localization of PE as well as the type and extent of pulmonary opacities on chest CT exams were examined and correlated with the information on comorbidities and laboratory values for all patients.

RESULTS:

Of the 84 patients, pulmonary embolism was discovered in 24 patients. We observed that 87% of PE was found to be in lung parenchyma affected by COVID-19 pneumonia. Compared with no-PE patients, PE patients showed an overall greater lung involvement by consolidation (p = 0.02) and GGO (p < 0.01) and a higher level of D-Dimer (p < 0,01). Moreover, the PE group showed a lower level of saturation (p = 0,01) and required more hospitalization (p < 0,01).

CONCLUSION:

Our study showed a high incidence of PE in COVID-19 pneumonia. In 87% of patients, PE was found in lung parenchyma affected by COVID-19 pneumonia with a worse CT severity score and a greater number of lung lobar involvement compared with non-PE patients. CT severity, lower level of saturation, and a rise in D-dimer levels could be an indication for a CTPA. ADVANCES IN KNOWLEDGE Certain findings of non-contrast chest CT could be an indication for a CTPA.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pulmonary Embolism / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Clin Imaging Journal subject: Diagnostic Imaging Year: 2021 Document Type: Article Affiliation country: J.clinimag.2021.05.016

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pulmonary Embolism / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: Clin Imaging Journal subject: Diagnostic Imaging Year: 2021 Document Type: Article Affiliation country: J.clinimag.2021.05.016