CT-Angiographic Aspects of Pulmonary Embolism on SARS COV-2.

Autor:	Tiemtore-Kambou BM; Joseph Ki-Zerbo University, BF.; Teaching Hospital Bogodogo, BF., Ouédraogo A; Joseph Ki-Zerbo University, BF., Aziz Dao SB; Joseph Ki-Zerbo University, BF., N'dama Sieba IF; Teaching Hospital Bogodogo Ouagadougou, BF., Koama A; Teaching Hospital Bogodogo Ouagadougou, BF., Séif Traoré I; Teaching Hospital Bogodogo Ouagadougou, BF., Napon S; Teaching Hospital Bogodogo Ouagadougou, BF., Ouédraogo W; Notre Dame de la paix Polyclinic Ouagadougou, BF., Desiré Sankara H; Centre D'imagerie Medicale Ouagadougou, BF., Cissé R; Joseph Ki-Zerbo University, BF., Dienderé É; Teaching Hospital Bogodogo Ouagadougou, BF.
Jazyk:	angličtina
Zdroj:	Journal of the Belgian Society of Radiology [J Belg Soc Radiol] 2023 Apr 04; Vol. 107 (1), pp. 22. Date of Electronic Publication: 2023 Apr 04 (Print Publication: 2023).
DOI:	10.5334/jbsr.3021
Abstrakt:	Objectives: To study pulmonary embolism during COVID-19 pneumonia. Patients and Methods: This was a one-year retrospective and descriptive study of all patients from three imaging sites with SARS-CoV2 infection. Results: Two hundred and thirty-nine patients were included. The prevalence of pulmonary embolism was 18.4%. The average age was 55 years old. The sex ratio was 1.65. Dyspnea (58.6%), cough (56.1%), and chest pain (40.2%) were the most common reasons for consultation. In 151 patients (63.2%), chest computed tomography (CT) angiography was performed without checking level of D-dimer. The level of D-dimers was elevated in 47.8%. Grade 5 of CO-RADS accounted for 62.3%. In 70.5% of cases, the pulmonary embolism was bilateral with subsegmental involvement in 47.7%.Condensation in 'ground glass' with 'crazy paving' were the predominant typical parenchymal lesions with a frequency of 93.7% and 59.4%. In univariate analysis, D-dimers were significantly associated with the occurrence of pulmonary embolism (p < 0.001). Male sex was associated with a non-significantly higher Risk of having a pulmonary embolism (1.18 95% CI: 0.61-2.31, p = 0.622). The critical level increased the risk of pulmonary embolism in a non-significant way. Only the high level of D-dimers was and this, in a significant way. Conclusion: Pulmonary embolism was increased in the context of SARS-CoV2. The chest CT-angiography associated with the dosage of D-dimers constitutes a good diagnostic arsenal. Competing Interests: The authors have no competing interests to declare. (Copyright: © 2023 The Author(s).)
Databáze:	MEDLINE
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