PMID- 29226460 OWN - NLM STAT- MEDLINE DCOM- 20181029 LR - 20181029 IS - 1540-8175 (Electronic) IS - 0742-2822 (Linking) VI - 35 IP - 3 DP - 2018 Mar TI - CT pulmonary angiogram for assessing the treatment outcome of acute pulmonary embolism. PG - 396-400 LID - 10.1111/echo.13766 [doi] AB - OBJECTIVE: To discuss the value of CT pulmonary angiogram (CTPA) for assessing the treatment outcome of acute pulmonary embolism (APE). MATERIALS AND METHODS: CT pulmonary angiogram data and other clinical data were collected for 28 cases diagnosed as APE and analyzed retrospectively. The number and positions of emboli in the pulmonary artery, pulmonary artery obstruction index, right ventricular/left ventricular diameter ratio, main pulmonary artery/ascending aorta diameter ratio and blood oxygen saturation, and pulmonary arterial pressure were compared before and after treatment. RESULTS: Of 28 cases, emboli in the pulmonary artery completely or partially disappeared in 16 and 12 cases, respectively. CPTA indicated that the pulmonary arterial pressure decreased dramatically and the blood oxygen saturation increased after treatment in 26 cases. There were significant differences in the number and positions of pulmonary emboli and in pulmonary artery obstruction index before and after treatment in 28 cases (P < .05). However, no significant differences were found in the right ventricular/left ventricular diameter ratio or main pulmonary artery/ascending aorta diameter ratio (P > .05). CONCLUSION: CT pulmonary angiogram proved reliable for assessing the treatment efficacy of APE, providing more clinical information on the patients' status. CI - (c) 2017, Wiley Periodicals, Inc. FAU - Zhou, Hai-Ting AU - Zhou HT AD - Department of CT, The Second Affiliated Hospital of Harbin Medical University, Harbin, China. FAU - Yan, Wen-Ying AU - Yan WY AD - Department of CT, The Second Affiliated Hospital of Harbin Medical University, Harbin, China. FAU - Zhao, De-Li AU - Zhao DL AD - Department of CT, The Second Affiliated Hospital of Harbin Medical University, Harbin, China. FAU - Liang, Hong-Wei AU - Liang HW AD - Department of CT, The Second Affiliated Hospital of Harbin Medical University, Harbin, China. FAU - Wang, Guo-Kun AU - Wang GK AD - Department of CT, The Second Affiliated Hospital of Harbin Medical University, Harbin, China. FAU - Ling, Zai-Sheng AU - Ling ZS AD - Department of CT, The Second Affiliated Hospital of Harbin Medical University, Harbin, China. FAU - Zhang, Jin-Ling AU - Zhang JL AUID- ORCID: 0000-0002-3931-2306 AD - Department of CT, The Second Affiliated Hospital of Harbin Medical University, Harbin, China. LA - eng PT - Journal Article DEP - 20171211 PL - United States TA - Echocardiography JT - Echocardiography (Mount Kisco, N.Y.) JID - 8511187 RN - 0 (Anticoagulants) SB - IM MH - Acute Disease MH - Adult MH - Aged MH - Anticoagulants/therapeutic use MH - Computed Tomography Angiography/*methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Pulmonary Artery/*diagnostic imaging MH - Pulmonary Embolism/*diagnostic imaging/*therapy MH - Retrospective Studies MH - Severity of Illness Index MH - Thrombolytic Therapy/methods MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - CT pulmonary angiogram OT - pulmonary artery obstruction index OT - pulmonary embolism EDAT- 2017/12/12 06:00 MHDA- 2018/10/30 06:00 CRDT- 2017/12/12 06:00 PHST- 2017/12/12 06:00 [pubmed] PHST- 2018/10/30 06:00 [medline] PHST- 2017/12/12 06:00 [entrez] AID - 10.1111/echo.13766 [doi] PST - ppublish SO - Echocardiography. 2018 Mar;35(3):396-400. doi: 10.1111/echo.13766. Epub 2017 Dec 11.