Triage for suspected acute Pulmonary Embolism: Think before opening Pandora's Box

Levin, David L.; Seo, Joon Beom; Kiely, David G.; Hatabu, Hiroto; Gefter, Warren B.; Beek, Edwin Jacques Rudolph van; Schiebler, Mark L.

doi:10.1016/j.ejrad.2015.03.023

Cited by 17 publications

(14 citation statements)

References 65 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The clinical importance of isolated subsegmental pulmonary emboli is uncertain and increasingly being questioned (31-34). It is thought by many that small emboli are formed in the deep peripheral venous system and filtered by the lungs in normal individuals (15,35-39).…”

Section: Potential Barriers To Implementationmentioning

confidence: 99%

Contrast enhanced pulmonary magnetic resonance angiography for pulmonary embolism: Building a successful program

Nagle

Schiebler

Repplinger

et al. 2016

European Journal of Radiology

Self Cite

View full text Add to dashboard Cite

The performance of contrast enhanced pulmonary magnetic resonance angiography (MRA) for the diagnosis of pulmonary embolism (PE) is an effective non-ionizing alternative to contrast enhanced computed tomography and nuclear medicine ventilation/perfusion scanning. However, the technical success of these exams is very dependent on careful attention to the details of the MRA acquisition protocol and requires reader familiarity with MRI and its artifacts. Most practicing radiologists are very comfortable with the performance and interpretation of computed tomographic angiography (CTA) performed to detect pulmonary embolism but not all are as comfortable with the use of MRA in this setting. The purpose of this review is to provide the general radiologist with the tools necessary to build a successful pulmonary embolism MRA program. This review will cover in detail image acquisition, image interpretation, and some key elements of outreach that help to frame the role of MRA to consulting clinicians and hospital administrators. It is our aim that this resource will help build successful clinical pulmonary embolism MRA programs that are well received by patients and physicians, reduce the burden of medical imaging radiation, and maintain good patient outcomes.

show abstract

Section: Potential Barriers To Implementationmentioning

confidence: 99%

Contrast enhanced pulmonary magnetic resonance angiography for pulmonary embolism: Building a successful program

Nagle

Schiebler

Repplinger

et al. 2016

European Journal of Radiology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Acute pulmonary embolism (PE) is reported to occur in 0.1% of the population per year and is associated with considerable morbidity and mortality [1]. The prevalence of pulmonary embolism in those patients with clinical suspicion of PE has been reported to be up to 27% [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Incidence of actionable findings on contrast enhanced magnetic resonance angiography ordered for pulmonary embolism evaluation

Schiebler

Ahuja

Repplinger

et al. 2016

European Journal of Radiology

Self Cite

View full text Add to dashboard Cite

show abstract

“…The treatment for fat embolism syndrome is essentially supportive, thus, after resuscitation and stabilisation, early fixation must be performed to prevent the occurrence of this condition. A low Wells' score does not rule out pulmonary thromboembolism, and acute blood loss can cause hypercoagulability, which may precipitate a thrombotic event, necessitating the use of computed tomography pulmonary angiogram to confirm the diagnosis (9). Preventive measures such as early mobilisation and anticoagulation therapy should be started as early as permissible.…”

Section: Resultsmentioning

confidence: 99%

A Case of Two Common Culprits Causing Pulmonary Embolism

Ctj¹,

Mansor²,

Ctk³

2017

JUMMEC

View full text Add to dashboard Cite

Pulmonary embolism is the obstruction of the pulmonary artery or its branches, commonly by thrombus or fat. We report an unusual case of double pathology-both pulmonary thromboembolism and fat embolism syndrome in a patient with bilateral femur and bilateral tibia fractures. This highlights the importance of a high index of suspicion of these conditions while managing patients with multiple long bone fractures. Morbidity and mortality can be significantly reduced with prompt and appropriate prevention strategies.

show abstract

Triage for suspected acute Pulmonary Embolism: Think before opening Pandora's Box

Cited by 17 publications

References 65 publications

Contrast enhanced pulmonary magnetic resonance angiography for pulmonary embolism: Building a successful program

Contrast enhanced pulmonary magnetic resonance angiography for pulmonary embolism: Building a successful program

Incidence of actionable findings on contrast enhanced magnetic resonance angiography ordered for pulmonary embolism evaluation

A Case of Two Common Culprits Causing Pulmonary Embolism

Contact Info

Product

Resources

About