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29.08.2019 | Original Article

Early whole-body CT for treatment guidance in patients with return of spontaneous circulation after cardiac arrest

verfasst von: S. Viniol, R. P. Thomas, A. M. König, S. Betz, A. H. Mahnken

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Abstract

Purpose

Non-traumatic cardiac arrest (CA) and return of spontaneous circulation (ROSC) after cardiopulmonary resuscitation (CPR) are often associated with multiple pathologies. Expecting a high prevalence of important findings, a whole-body CT (WBCT) could be of relevance for therapy. The aim of this study is to investigate the feasibility and diagnostic yield of an early WBCT in this setting.

Methods

This single-center retrospective study included 100 consecutive patients (27 female; 73 male; mean age 68.5± 12.57 years) with non-traumatic, in- and out-of-hospital CA and ROSC following CPR, who underwent a contrast-enhanced WBCT within 6 h after ROSC over 12 months. CT findings were determined corresponding to anatomical region.

Results

Early WBCT was successfully carried out in 100% of the patients with CA and ROSC after CPR. Acute pathologies were found not only in the chest but also in the head (15%) and the abdomen (6%). Early global brain edema (n = 12), acute stroke (n = 3), pulmonary embolism (n = 10), pneumothorax (26%), acute abdominal pathologies (n = 6), iatrogenic bleeding (4%), and CPR-related injuries (93%) were detected by CT right from the beginning of the post-cardiac arrest care.

Conclusions

An early WBCT is feasible and provides added diagnostic value for patients with ROSC after non-traumatic CA.

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Titel: Early whole-body CT for treatment guidance in patients with return of spontaneous circulation after cardiac arrest
verfasst von: S. Viniol
R. P. Thomas
A. M. König
S. Betz
A. H. Mahnken
Publikationsdatum: 29.08.2019
Verlag: Springer International Publishing
Erschienen in: Emergency Radiology
Print ISSN: 1070-3004
Elektronische ISSN: 1438-1435
DOI: https://doi.org/10.1007/s10140-019-01723-x

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Springer Medizin

Early whole-body CT for treatment guidance in patients with return of spontaneous circulation after cardiac arrest

Abstract

Purpose

Methods

Results

Conclusions

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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Neu im Fachgebiet Radiologie

Akuter Schwindel: Wann lohnt sich eine MRT?

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Update Radiologie