PMID- 28906373 OWN - NLM STAT- MEDLINE DCOM- 20171002 LR - 20210109 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 96 IP - 37 DP - 2017 Sep TI - Predictive value of insufficient contrast medium filling in pulmonary veins in patients with acute pulmonary embolism. PG - e7926 LID - 10.1097/MD.0000000000007926 [doi] LID - e7926 AB - This study is to investigate the predictive value of insufficient contrast medium filling (ICMF) in patients with acute pulmonary embolism (PE).A total of 108 PE patients were enrolled and divided into group A and group B according to the presence of ICMF. PE index and ventricul araxial lengths were measured. Heart cavity volumes were examined and right ventricle (RV) to left ventricle (LV) diameter ratio (RV/LV(d)) and volume ratio (RV/LV(V)) and right atrium (RA) to left atrium (LA) volume ratio (RA/LA(V)) were calculated and compared. Group A was further divided into A1 and A2 based upon the pulmonary vein filling degree and each index was compared.There were no significant differences between group A and B in general condition. PE index of group A was higher than that of group B. LA and LV in group A were smaller than that of group B, whereas RA in group A was larger than that of group B. RV/LV(d), RV/LV(V), and RA/LA(V) in group A were significantly larger than that of group B. Embolism index of group A2 was higher than that of groupA1, but without statistical significant difference. LA in group A2 was smaller than that of group A1, whereas RA, RV/LV(d), and RV/LV(V) were larger than that of group A1, all with significant differences.PE increased with serious ICMF in pulmonary veins could be used as an indicator for risk stratification in patients with acute PE. FAU - Zhang, Hong AU - Zhang H AD - Radiological Department, Tianjin Chest Hospital, Tianjin, P.R. China. FAU - Ma, Yanhe AU - Ma Y FAU - Song, Zhenchun AU - Song Z FAU - Lv, Jun AU - Lv J FAU - Yang, Yapeng AU - Yang Y LA - eng PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Contrast Media) SB - IM MH - Acute Disease MH - *Angiography/methods MH - *Contrast Media MH - Female MH - Humans MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Pulmonary Embolism/*diagnostic imaging/epidemiology/*physiopathology MH - Pulmonary Veins/*diagnostic imaging MH - Risk Assessment MH - *Tomography, X-Ray Computed PMC - PMC5604642 COIS- The authors have no funding and conflicts of interest to disclose. EDAT- 2017/09/15 06:00 MHDA- 2017/10/03 06:00 PMCR- 2017/09/15 CRDT- 2017/09/15 06:00 PHST- 2017/09/15 06:00 [entrez] PHST- 2017/09/15 06:00 [pubmed] PHST- 2017/10/03 06:00 [medline] PHST- 2017/09/15 00:00 [pmc-release] AID - 00005792-201709150-00025 [pii] AID - MD-D-17-02111 [pii] AID - 10.1097/MD.0000000000007926 [doi] PST - ppublish SO - Medicine (Baltimore). 2017 Sep;96(37):e7926. doi: 10.1097/MD.0000000000007926.