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Erschienen in: The International Journal of Cardiovascular Imaging 3/2013

01.03.2013

Right ventricular enlargement in acute pulmonary embolism derived from CT pulmonary angiography

verfasst von: Kanako K. Kumamaru, Michael T. Lu, Sanaz Ghaderi Niri, Andetta R. Hunsaker

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 3/2013

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Excerpt

Right ventricular (RV) dysfunction is an important marker to predict morbidity and mortality in patients with acute pulmonary embolism (PE) [1, 2]. Because it provides a cine assessment, echocardiography is the first-line method to evaluate RV dysfunction. However, since CT pulmonary angiography (CTPA) is the standard diagnostic modality for PE [3], echocardiography is generally performed after the clinical suspicion of PE has been confirmed by CTPA. Thus there has been considerable interest in detecting RV dysfunction on CTPA. Many CT signs of RV dysfunction have been proposed [4], but the most commonly used is RV enlargement as measured by the right to left ventricular (RV/LV) diameter ratio. …
Literatur
1.
Zurück zum Zitat Goldhaber SZ, Visani L, De Rosa M (1999) Acute pulmonary embolism: clinical outcomes in the international cooperative pulmonary embolism registry (icoper). Lancet 353:1386–1389PubMedCrossRef Goldhaber SZ, Visani L, De Rosa M (1999) Acute pulmonary embolism: clinical outcomes in the international cooperative pulmonary embolism registry (icoper). Lancet 353:1386–1389PubMedCrossRef
2.
Zurück zum Zitat Goldhaber SZ, Morpurgo M (1992) Diagnosis, treatment, and prevention of pulmonary embolism. Report of the who/international society and federation of cardiology task force. JAMA 268:1727–1733PubMedCrossRef Goldhaber SZ, Morpurgo M (1992) Diagnosis, treatment, and prevention of pulmonary embolism. Report of the who/international society and federation of cardiology task force. JAMA 268:1727–1733PubMedCrossRef
3.
Zurück zum Zitat Hunsaker AR, Lu MT, Goldhaber SZ, Rybicki FJ (2010) Imaging in acute pulmonary embolism with special clinical scenarios. Circ Cardiovasc Imaging 3:491–500PubMedCrossRef Hunsaker AR, Lu MT, Goldhaber SZ, Rybicki FJ (2010) Imaging in acute pulmonary embolism with special clinical scenarios. Circ Cardiovasc Imaging 3:491–500PubMedCrossRef
4.
Zurück zum Zitat Ghaye B, Ghuysen A, Bruyere PJ, D’Orio V, Dondelinger RF (2006) Can CT pulmonary angiography allow assessment of severity and prognosis in patients presenting with pulmonary embolism? What the radiologist needs to know. Radiographics. 26:23–39; discussion 39-40 Ghaye B, Ghuysen A, Bruyere PJ, D’Orio V, Dondelinger RF (2006) Can CT pulmonary angiography allow assessment of severity and prognosis in patients presenting with pulmonary embolism? What the radiologist needs to know. Radiographics. 26:23–39; discussion 39-40
5.
Zurück zum Zitat Grifoni S, Olivotto I, Cecchini P et al (2000) Short-term clinical outcome of patients with acute pulmonary embolism, normal blood pressure, and echocardiographic right ventricular dysfunction. Circulation 101:2817–2822PubMedCrossRef Grifoni S, Olivotto I, Cecchini P et al (2000) Short-term clinical outcome of patients with acute pulmonary embolism, normal blood pressure, and echocardiographic right ventricular dysfunction. Circulation 101:2817–2822PubMedCrossRef
6.
Zurück zum Zitat Fremont B, Pacouret G, Jacobi D, Puglisi R, Charbonnier B, de Labriolle A (2008) Prognostic value of echocardiographic right/left ventricular end-diastolic diameter ratio in patients with acute pulmonary embolism: results from a monocenter registry of 1,416 patients. Chest 133:358–362PubMedCrossRef Fremont B, Pacouret G, Jacobi D, Puglisi R, Charbonnier B, de Labriolle A (2008) Prognostic value of echocardiographic right/left ventricular end-diastolic diameter ratio in patients with acute pulmonary embolism: results from a monocenter registry of 1,416 patients. Chest 133:358–362PubMedCrossRef
7.
Zurück zum Zitat Kasper W, Konstantinides S, Geibel A, Tiede N, Krause T, Just H (1997) Prognostic significance of right ventricular afterload stress detected by echocardiography in patients with clinically suspected pulmonary embolism. Heart 77:346–349PubMed Kasper W, Konstantinides S, Geibel A, Tiede N, Krause T, Just H (1997) Prognostic significance of right ventricular afterload stress detected by echocardiography in patients with clinically suspected pulmonary embolism. Heart 77:346–349PubMed
8.
Zurück zum Zitat Reid JH, Murchison JT (1998) Acute right ventricular dilatation: a new helical ct sign of massive pulmonary embolism. Clin Radiol 53:694–698PubMedCrossRef Reid JH, Murchison JT (1998) Acute right ventricular dilatation: a new helical ct sign of massive pulmonary embolism. Clin Radiol 53:694–698PubMedCrossRef
9.
Zurück zum Zitat Apfaltrer P, Henzler T, Meyer M et al. (2011) Correlation of CT angiographic pulmonary artery obstruction scores with right ventricular dysfunction and clinical outcome in patients with acute pulmonary embolism. Eur J Radiol Apfaltrer P, Henzler T, Meyer M et al. (2011) Correlation of CT angiographic pulmonary artery obstruction scores with right ventricular dysfunction and clinical outcome in patients with acute pulmonary embolism. Eur J Radiol
10.
Zurück zum Zitat Contractor S, Maldjian PD, Sharma VK, Gor DM (2002) Role of helical ct in detecting right ventricular dysfunction secondary to acute pulmonary embolism. J Comput Assist Tomogr 26:587–591PubMedCrossRef Contractor S, Maldjian PD, Sharma VK, Gor DM (2002) Role of helical ct in detecting right ventricular dysfunction secondary to acute pulmonary embolism. J Comput Assist Tomogr 26:587–591PubMedCrossRef
11.
Zurück zum Zitat Collomb D, Paramelle PJ, Calaque O et al (2003) Severity assessment of acute pulmonary embolism: evaluation using helical ct. Eur Radiol 13:1508–1514PubMedCrossRef Collomb D, Paramelle PJ, Calaque O et al (2003) Severity assessment of acute pulmonary embolism: evaluation using helical ct. Eur Radiol 13:1508–1514PubMedCrossRef
12.
Zurück zum Zitat Araoz PA, Gotway MB, Trowbridge RL et al (2003) Helical ct pulmonary angiography predictors of in-hospital morbidity and mortality in patients with acute pulmonary embolism. J Thorac Imaging 18:207–216PubMedCrossRef Araoz PA, Gotway MB, Trowbridge RL et al (2003) Helical ct pulmonary angiography predictors of in-hospital morbidity and mortality in patients with acute pulmonary embolism. J Thorac Imaging 18:207–216PubMedCrossRef
13.
Zurück zum Zitat Araoz PA, Gotway MB, Harrington JR, Harmsen WS, Mandrekar JN (2007) Pulmonary embolism: prognostic ct findings. Radiology 242:889–897PubMedCrossRef Araoz PA, Gotway MB, Harrington JR, Harmsen WS, Mandrekar JN (2007) Pulmonary embolism: prognostic ct findings. Radiology 242:889–897PubMedCrossRef
14.
Zurück zum Zitat Ghuysen A, Ghaye B, Willems V et al (2005) Computed tomographic pulmonary angiography and prognostic significance in patients with acute pulmonary embolism. Thorax 60:956–961PubMedCrossRef Ghuysen A, Ghaye B, Willems V et al (2005) Computed tomographic pulmonary angiography and prognostic significance in patients with acute pulmonary embolism. Thorax 60:956–961PubMedCrossRef
15.
Zurück zum Zitat van der Meer RW, Pattynama PM, van Strijen MJ et al (2005) Right ventricular dysfunction and pulmonary obstruction index at helical ct: prediction of clinical outcome during 3-month follow-up in patients with acute pulmonary embolism. Radiology 235:798–803PubMedCrossRef van der Meer RW, Pattynama PM, van Strijen MJ et al (2005) Right ventricular dysfunction and pulmonary obstruction index at helical ct: prediction of clinical outcome during 3-month follow-up in patients with acute pulmonary embolism. Radiology 235:798–803PubMedCrossRef
16.
Zurück zum Zitat Ghaye B, Ghuysen A, Willems V et al (2006) Severe pulmonary embolism: pulmonary artery clot load scores and cardiovascular parameters as predictors of mortality. Radiology 239:884–891PubMedCrossRef Ghaye B, Ghuysen A, Willems V et al (2006) Severe pulmonary embolism: pulmonary artery clot load scores and cardiovascular parameters as predictors of mortality. Radiology 239:884–891PubMedCrossRef
17.
Zurück zum Zitat Bazeed MF, Saad A, Sultan A, Ghanem MA, Khalil DM (2010) Prediction of pulmonary embolism outcome and severity by computed tomography. Acta Radiol 51:271–276PubMedCrossRef Bazeed MF, Saad A, Sultan A, Ghanem MA, Khalil DM (2010) Prediction of pulmonary embolism outcome and severity by computed tomography. Acta Radiol 51:271–276PubMedCrossRef
18.
Zurück zum Zitat Schoepf UJ, Kucher N, Kipfmueller F, Quiroz R, Costello P, Goldhaber SZ (2004) Right ventricular enlargement on chest computed tomography: a predictor of early death in acute pulmonary embolism. Circulation 110:3276–3280PubMedCrossRef Schoepf UJ, Kucher N, Kipfmueller F, Quiroz R, Costello P, Goldhaber SZ (2004) Right ventricular enlargement on chest computed tomography: a predictor of early death in acute pulmonary embolism. Circulation 110:3276–3280PubMedCrossRef
19.
Zurück zum Zitat Quiroz R, Kucher N, Schoepf UJ et al (2004) Right ventricular enlargement on chest computed tomography: prognostic role in acute pulmonary embolism. Circulation 109:2401–2404PubMedCrossRef Quiroz R, Kucher N, Schoepf UJ et al (2004) Right ventricular enlargement on chest computed tomography: prognostic role in acute pulmonary embolism. Circulation 109:2401–2404PubMedCrossRef
20.
Zurück zum Zitat Lu MT, Ersoy H, Whitmore AG, Lipton MJ, Rybicki FJ (2007) Reformatted four-chamber and short-axis views of the heart using thin section (</=2 mm) mdct images. Acad Radiol 14:1108–1112PubMedCrossRef Lu MT, Ersoy H, Whitmore AG, Lipton MJ, Rybicki FJ (2007) Reformatted four-chamber and short-axis views of the heart using thin section (</=2 mm) mdct images. Acad Radiol 14:1108–1112PubMedCrossRef
21.
Zurück zum Zitat Dogan H, Kroft LJ, Huisman MV, van der Geest RJ, de Roos A (2007) Right ventricular function in patients with acute pulmonary embolism: analysis with electrocardiography-synchronized multi-detector row ct. Radiology 242:78–84PubMedCrossRef Dogan H, Kroft LJ, Huisman MV, van der Geest RJ, de Roos A (2007) Right ventricular function in patients with acute pulmonary embolism: analysis with electrocardiography-synchronized multi-detector row ct. Radiology 242:78–84PubMedCrossRef
22.
Zurück zum Zitat Kamel EM, Schmidt S, Doenz F, Adler-Etechami G, Schnyder P, Qanadli SD (2008) Computed tomographic angiography in acute pulmonary embolism: do we need multiplanar reconstructions to evaluate the right ventricular dysfunction? J Comput Assist Tomogr 32:438–443PubMedCrossRef Kamel EM, Schmidt S, Doenz F, Adler-Etechami G, Schnyder P, Qanadli SD (2008) Computed tomographic angiography in acute pulmonary embolism: do we need multiplanar reconstructions to evaluate the right ventricular dysfunction? J Comput Assist Tomogr 32:438–443PubMedCrossRef
23.
Zurück zum Zitat Stein PD, Matta F, Yaekoub AY et al (2009) Reconstructed 4-chamber views compared with axial imaging for assessment of right ventricular enlargement on ct pulmonary angiograms. J Thromb Thrombolysis 28:342–347PubMedCrossRef Stein PD, Matta F, Yaekoub AY et al (2009) Reconstructed 4-chamber views compared with axial imaging for assessment of right ventricular enlargement on ct pulmonary angiograms. J Thromb Thrombolysis 28:342–347PubMedCrossRef
24.
Zurück zum Zitat Wittenberg R, van Vliet JW, Ghaye B, Peters JF, Schaefer-Prokop CM, Coche E (2012) Comparison of automated 4-chamber cardiac views versus axial views for measuring right ventricular enlargement in patients with suspected pulmonary embolism. Eur J Radiol 81:218–222PubMedCrossRef Wittenberg R, van Vliet JW, Ghaye B, Peters JF, Schaefer-Prokop CM, Coche E (2012) Comparison of automated 4-chamber cardiac views versus axial views for measuring right ventricular enlargement in patients with suspected pulmonary embolism. Eur J Radiol 81:218–222PubMedCrossRef
25.
Zurück zum Zitat Kang DK, Thilo C, Schoepf UJ et al (2011) Ct signs of right ventricular dysfunction: prognostic role in acute pulmonary embolism. JACC Cardiovasc Imaging. 4:841–849PubMedCrossRef Kang DK, Thilo C, Schoepf UJ et al (2011) Ct signs of right ventricular dysfunction: prognostic role in acute pulmonary embolism. JACC Cardiovasc Imaging. 4:841–849PubMedCrossRef
26.
Zurück zum Zitat Kang DK, Ramos-Duran L, Schoepf UJ et al (2010) Reproducibility of ct signs of right ventricular dysfunction in acute pulmonary embolism. AJR Am J Roentgenol 194:1500–1506PubMedCrossRef Kang DK, Ramos-Duran L, Schoepf UJ et al (2010) Reproducibility of ct signs of right ventricular dysfunction in acute pulmonary embolism. AJR Am J Roentgenol 194:1500–1506PubMedCrossRef
27.
Zurück zum Zitat Kumamaru KK, Hunsaker AR, Wake N et al (2011) The variability in prognostic values of right ventricular-to-left ventricular diameter ratios derived from different measurement methods on computed tomography pulmonary angiography: A patient outcome study. J Thorac Imaging Kumamaru KK, Hunsaker AR, Wake N et al (2011) The variability in prognostic values of right ventricular-to-left ventricular diameter ratios derived from different measurement methods on computed tomography pulmonary angiography: A patient outcome study. J Thorac Imaging
28.
Zurück zum Zitat Lu MT, Demehri S, Cai T et al (2012) Axial and reformatted four-chamber right ventricle-to-left ventricle diameter ratios on pulmonary ct angiography as predictors of death after acute pulmonary embolism. AJR Am J Roentgenol 198:1353–1360PubMedCrossRef Lu MT, Demehri S, Cai T et al (2012) Axial and reformatted four-chamber right ventricle-to-left ventricle diameter ratios on pulmonary ct angiography as predictors of death after acute pulmonary embolism. AJR Am J Roentgenol 198:1353–1360PubMedCrossRef
29.
Zurück zum Zitat Lu MT, Cai T, Ersoy H et al (2008) Interval increase in right-left ventricular diameter ratios at ct as a predictor of 30-day mortality after acute pulmonary embolism: initial experience. Radiology 246:281–287PubMed Lu MT, Cai T, Ersoy H et al (2008) Interval increase in right-left ventricular diameter ratios at ct as a predictor of 30-day mortality after acute pulmonary embolism: initial experience. Radiology 246:281–287PubMed
30.
Zurück zum Zitat Scheffel H, Stolzmann P, Leschka S et al. (2011) Ventricular short-axis measurements in patients with pulmonary embolism: Effect of ecg-gating on variability, accuracy, and risk prediction. Eur J Radiol Scheffel H, Stolzmann P, Leschka S et al. (2011) Ventricular short-axis measurements in patients with pulmonary embolism: Effect of ecg-gating on variability, accuracy, and risk prediction. Eur J Radiol
31.
Zurück zum Zitat Schoepf UJ, Costello P (2004) Ct angiography for diagnosis of pulmonary embolism: state of the art. Radiology 230:329–337PubMedCrossRef Schoepf UJ, Costello P (2004) Ct angiography for diagnosis of pulmonary embolism: state of the art. Radiology 230:329–337PubMedCrossRef
32.
Zurück zum Zitat Lu MT, Cai T, Ersoy H et al (2009) Comparison of ecg-gated versus non-gated ct ventricular measurements in thirty patients with acute pulmonary embolism. Int J Cardiovasc Imaging 25:101–107PubMedCrossRef Lu MT, Cai T, Ersoy H et al (2009) Comparison of ecg-gated versus non-gated ct ventricular measurements in thirty patients with acute pulmonary embolism. Int J Cardiovasc Imaging 25:101–107PubMedCrossRef
33.
Zurück zum Zitat Mansencal N, Joseph T, Vieillard-Baron A et al (2005) Diagnosis of right ventricular dysfunction in acute pulmonary embolism using helical computed tomography. Am J Cardiol 95:1260–1263PubMedCrossRef Mansencal N, Joseph T, Vieillard-Baron A et al (2005) Diagnosis of right ventricular dysfunction in acute pulmonary embolism using helical computed tomography. Am J Cardiol 95:1260–1263PubMedCrossRef
34.
Zurück zum Zitat Dogan H, Kroft LJ, Huisman MV et al (2010) Assessment of right ventricular function in acute pulmonary embolism using ecg-synchronized mdct. AJR Am J Roentgenol 195:909–915PubMedCrossRef Dogan H, Kroft LJ, Huisman MV et al (2010) Assessment of right ventricular function in acute pulmonary embolism using ecg-synchronized mdct. AJR Am J Roentgenol 195:909–915PubMedCrossRef
35.
Zurück zum Zitat Henzler T, Krissak R, Reichert M, Sueselbeck T, Schoenberg SO, Fink C (2010) Volumetric analysis of pulmonary cta for the assessment of right ventricular dysfunction in patients with acute pulmonary embolism. Acad Radiol. 17:309–315PubMedCrossRef Henzler T, Krissak R, Reichert M, Sueselbeck T, Schoenberg SO, Fink C (2010) Volumetric analysis of pulmonary cta for the assessment of right ventricular dysfunction in patients with acute pulmonary embolism. Acad Radiol. 17:309–315PubMedCrossRef
36.
Zurück zum Zitat Ozsu S, Karaman K, Mentese A et al (2010) Combined risk stratification with computerized tomography/echocardiography and biomarkers in patients with normotensive pulmonary embolism. Thromb Res 126:486–492PubMedCrossRef Ozsu S, Karaman K, Mentese A et al (2010) Combined risk stratification with computerized tomography/echocardiography and biomarkers in patients with normotensive pulmonary embolism. Thromb Res 126:486–492PubMedCrossRef
37.
Zurück zum Zitat Goldhaber SZ (2002) Echocardiography in the management of pulmonary embolism. Ann Intern Med 136:691–700PubMed Goldhaber SZ (2002) Echocardiography in the management of pulmonary embolism. Ann Intern Med 136:691–700PubMed
38.
Zurück zum Zitat Moroni AL, Bosson JL, Hohn N, Carpentier F, Pernod G, Ferretti GR (2011) Non-severe pulmonary embolism: prognostic ct findings. Eur J Radiol 79:452–458PubMedCrossRef Moroni AL, Bosson JL, Hohn N, Carpentier F, Pernod G, Ferretti GR (2011) Non-severe pulmonary embolism: prognostic ct findings. Eur J Radiol 79:452–458PubMedCrossRef
39.
Zurück zum Zitat Golpe R, Perez-de-Llano LA, Castro-Anon O et al (2010) Right ventricle dysfunction and pulmonary hypertension in hemodynamically stable pulmonary embolism. Respir Med 104:1370–1376PubMedCrossRef Golpe R, Perez-de-Llano LA, Castro-Anon O et al (2010) Right ventricle dysfunction and pulmonary hypertension in hemodynamically stable pulmonary embolism. Respir Med 104:1370–1376PubMedCrossRef
40.
Zurück zum Zitat He H, Stein MW, Zalta B, Haramati LB (2006) Computed tomography evaluation of right heart dysfunction in patients with acute pulmonary embolism. J Comput Assist Tomogr 30:262–266PubMedCrossRef He H, Stein MW, Zalta B, Haramati LB (2006) Computed tomography evaluation of right heart dysfunction in patients with acute pulmonary embolism. J Comput Assist Tomogr 30:262–266PubMedCrossRef
41.
Zurück zum Zitat Kumamaru KK, Hunsaker AR, Bedayat A et al (2011) Subjective assessment of right ventricle enlargement from computed tomography pulmonary angiography images. Int J Cardiovasc Imaging Kumamaru KK, Hunsaker AR, Bedayat A et al (2011) Subjective assessment of right ventricle enlargement from computed tomography pulmonary angiography images. Int J Cardiovasc Imaging
42.
Zurück zum Zitat Stein PD, Beemath A, Matta F et al (2008) Enlarged right ventricle without shock in acute pulmonary embolism: prognosis. Am J Med 121:34–42PubMedCrossRef Stein PD, Beemath A, Matta F et al (2008) Enlarged right ventricle without shock in acute pulmonary embolism: prognosis. Am J Med 121:34–42PubMedCrossRef
43.
Zurück zum Zitat Nural MS, Elmali M, Findik S et al (2009) Computed tomographic pulmonary angiography in the assessment of severity of acute pulmonary embolism and right ventricular dysfunction. Acta Radiol 50:629–637PubMedCrossRef Nural MS, Elmali M, Findik S et al (2009) Computed tomographic pulmonary angiography in the assessment of severity of acute pulmonary embolism and right ventricular dysfunction. Acta Radiol 50:629–637PubMedCrossRef
44.
Zurück zum Zitat Zhao DJ, Ma DQ, He W, Wang JJ, Xu Y, Guan CS (2010) Cardiovascular parameters to assess the severity of acute pulmonary embolism with computed tomography. Acta Radiol 51:413–419PubMedCrossRef Zhao DJ, Ma DQ, He W, Wang JJ, Xu Y, Guan CS (2010) Cardiovascular parameters to assess the severity of acute pulmonary embolism with computed tomography. Acta Radiol 51:413–419PubMedCrossRef
45.
Zurück zum Zitat Klok FA, Van Der Bijl N, Eikenboom HC et al (2010) Comparison of ct assessed right ventricular size and cardiac biomarkers for predicting short-term clinical outcome in normotensive patients suspected of having acute pulmonary embolism. J Thromb Haemost 8:853–856PubMedCrossRef Klok FA, Van Der Bijl N, Eikenboom HC et al (2010) Comparison of ct assessed right ventricular size and cardiac biomarkers for predicting short-term clinical outcome in normotensive patients suspected of having acute pulmonary embolism. J Thromb Haemost 8:853–856PubMedCrossRef
46.
Zurück zum Zitat Henzler T, Roeger S, Meyer M et al (2012) Pulmonary embolism: CT signs and cardiac biomarkers for predicting right ventricular dysfunction. Eur Respir J 39:919–926PubMedCrossRef Henzler T, Roeger S, Meyer M et al (2012) Pulmonary embolism: CT signs and cardiac biomarkers for predicting right ventricular dysfunction. Eur Respir J 39:919–926PubMedCrossRef
47.
Zurück zum Zitat Park JR, Chang SA, Jang SY et al (2012) Evaluation of right ventricular dysfunction and prediction of clinical outcomes in acute pulmonary embolism by chest computed tomography: comparisons with echocardiography. Int J Cardiovasc Imaging 28:979–987PubMedCrossRef Park JR, Chang SA, Jang SY et al (2012) Evaluation of right ventricular dysfunction and prediction of clinical outcomes in acute pulmonary embolism by chest computed tomography: comparisons with echocardiography. Int J Cardiovasc Imaging 28:979–987PubMedCrossRef
Metadaten
Titel
Right ventricular enlargement in acute pulmonary embolism derived from CT pulmonary angiography
verfasst von
Kanako K. Kumamaru
Michael T. Lu
Sanaz Ghaderi Niri
Andetta R. Hunsaker
Publikationsdatum
01.03.2013
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 3/2013
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-012-0126-1

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