The Additional Value of Esophageal Wall Evaluation and Secondary Findings in Emergency Patients Undergoing CT Pulmonary Angiography

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F18%3A10371955" target="_blank" >RIV/00216208:11110/18:10371955 - isvavai.cz</a>

Alternative codes found

RIV/00064165:_____/18:10371955

Result on the web

<a href="http://dx.doi.org/10.5812/iranjradiol.63466" target="_blank" >http://dx.doi.org/10.5812/iranjradiol.63466</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5812/iranjradiol.63466" target="_blank" >10.5812/iranjradiol.63466</a>

Result language

angličtina

Original language name

The Additional Value of Esophageal Wall Evaluation and Secondary Findings in Emergency Patients Undergoing CT Pulmonary Angiography

Original language description

Background: A significant proportion of patients with chest discomfort suffer from esophageal pathology and other conditions unrelated to pulmonary embolism. Objectives: To determine the proportion of emergency patients undergoing CT pulmonary angiography, where esophageal pathology suspected from CT and other secondary findings would contribute to the explanation of their symptoms. Patients and Methods: CT scans of 434 patients who were referred from the emergency department for CT pulmonary angiography were evaluated for esophageal wall thickness and distention, the presence of pulmonary embolism and other findings that might explain acute symptoms. Esophageal pathology was considered when the distal esophageal wall was at least 5 mm thick, as previously reported. Results: Pulmonary embolism was confirmed in 27% patients. The distal esophageal wall was thickened in 87 (20%) patients. In this group, pulmonary embolism was present in 11 patients (13%) compared to 104 (30%) in patients without esophageal wall thickening (P = 0.007). From 76 patients with excluded pulmonary embolism, in 43 (56%), a suspected esophageal pathology was consistent with their symptoms. Gastroscopy confirmed CT findings in 34 of 42 patients (P = 0.0001). Conclusion: Esophageal wall thickening is common in emergency patients with excluded pulmonary embolism and this finding may help to direct the patients appropriately.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30224 - Radiology, nuclear medicine and medical imaging

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Iranian Journal of Radiology

ISSN

1735-1065

e-ISSN

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Volume of the periodical

15

Issue of the periodical within the volume

1

Country of publishing house

IR - IRAN, ISLAMIC REPUBLIC OF

Number of pages

6

Pages from-to

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UT code for WoS article

000434463200022

EID of the result in the Scopus database

2-s2.0-85046263310