Routine pelvic and lower extremity CT venography in patients undergoing pulmonary CT angiography

AJR. American Journal of Roentgenology
Andetta R HunsakerS Z Goldhaber

Abstract

The purpose of our study was to assess the utility of performing routine pelvic and lower extremity CT venography (CTV) along with pulmonary CT angiography (CTA) in all patients evaluated for pulmonary embolism. Eight hundred twenty-nine consecutive patients (281 men and 548 women) underwent CTA-CTV for pulmonary embolism. Reports were evaluated as follows: positive or negative for pulmonary embolism with or without deep venous thrombosis (DVT) or with nondiagnostic CTV. Coexisting factors of malignancy, previous venous thromboembolism (VTE), recent surgery, and cardiovascular disease comprised the high-risk group of 446 patients. The remaining 383 patients formed the low-risk group. Statistical analysis included four binary predictors (previous VTE, malignancy, cardiovascular disease, and surgery) and three binary outcome variables (pulmonary embolism, DVT, and VTE). Chi-square test and univariate and multivariate regression analyses were performed. VTE, pulmonary embolism, and DVT occurred in 152 (18.3%), 124 (15.0%), and 61 (7.3%) of 829 patients, respectively. Between the high-risk and low-risk groups, prevalence of VTE was 114 (25.6%) of 446 and 38 (9.9%) of 383 patients, respectively (p < 0.001); prevalence of pulmonary e...Continue Reading

References

May 17, 1992·The New England Journal of Medicine·J L CarsonT E Hobbins
Jul 9, 1998·The New England Journal of Medicine·S Z Goldhaber
Apr 20, 2001·AJR. American Journal of Roentgenology·D BruceD S Katz
Apr 29, 2005·The New England Journal of Medicine·Arnaud PerrierHenri Bounameaux
Jan 13, 2006·JAMA : the Journal of the American Medical Association·Arne van BelleUNKNOWN Christopher Study Investigators
Jun 2, 2006·The New England Journal of Medicine·Paul D SteinUNKNOWN PIOPED II Investigators
Jun 2, 2006·The New England Journal of Medicine·Arnaud Perrier, Henri Bounameaux
Jul 13, 2006·Circulation·Gregory Piazza, Samuel Z Goldhaber
Dec 6, 2006·The American Journal of Medicine·Paul D SteinUNKNOWN PIOPED II investigators
Dec 23, 2006·Radiology·Paul D SteinUNKNOWN PIOPED II Investigators

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Citations

Dec 26, 2008·The New England Journal of Medicine·Stavros Konstantinides
Sep 17, 2011·American Journal of Respiratory and Critical Care Medicine·Stavros Konstantinides
Feb 24, 2009·AJR. American Journal of Roentgenology·Hasan NazaroğluAslan Bilici
Sep 8, 2011·The British Journal of Radiology·S SlaterB Bhartia
Sep 5, 2009·Emergency Radiology·Patrick R BurnsideJeffrey A Kline
Nov 26, 2010·Journal of Magnetic Resonance Imaging : JMRI·Kirsten van LangeveldeAlbert de Roos
Apr 1, 2009·Seminars in Nuclear Medicine·Philip S Wells
Apr 13, 2015·European Journal of Radiology·David LevinUNKNOWN 2013 International Workshop for Pulmonary Functional Imaging (IWPFI)
Sep 24, 2011·AJR. American Journal of Roentgenology·Atsuko FujikawaYasuo Nakajima
Nov 27, 2014·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Gajan SivananthanJoseph F Polak
Jun 13, 2009·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Paul D SteinYoojin Kwun
Jul 22, 2010·Circulation. Cardiovascular Imaging·Andetta R HunsakerFrank J Rybicki
Jul 21, 2010·Nature Reviews. Cardiology·Renée A DoumaHarry R Büller
Feb 23, 2019·Abdominal Radiology·Marina MityulMotoyo Yano

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