. 9999; 0: 

Evaluation of Inferior Vena Cava / Abdominal Aorta Diameter Index in Pulmonary Embolism

Emre Gökçen1, Bilgehan Demir2, Atakan Savrun3, İbrahim Çaltekin1, Gökhan Yıldırım4, Hilal Korkmaz5, Levent Albayrak1, Şeyda Tuba Savrun6
1Department of Emergency Medicine, Yozgat Bozok University Faculty of Medicine, Yozgat,Turkey
2Department of Emergency Medicine, Malatya Research and Training Hospital, Malatya, Turkey
3Department of Emergency Medicine, Ordu University Faculty of Medicine, Ordu,Turkey
4Department of Radiology, Malatya Training and Research Hospital, Malatya, Turkey
5Department of Physiology, Gazi University Faculty of Medicine, Ankara, Turkey
6Department of Emergency Medicine, Ordu University Training and Research Hospital, Ordu,Turkey

Objective: Pulmonary embolism (PE) among cardiovascular diseases is an important emergency with high mortality.The purpose of this study was to investigate the relationship between morphometric measurements of other right ventricular function parameters and IVC and aortic measurements according to clot distribution in patients with pulmonary embolism.
Materials and Methods: A total of 198 patients were included in the study.Computed tomography pulmonary angiographies (CTPA) of 102 patients with acute (PE) were recorded and the patients were grouped according to the localization of the clot. The diameters of the inferior vena cava, aorta,pulmonary artery, and right and left ventricles were assessed.
Results: Inferior vena cava area (IVCA)/Aortic Area (AA) significantly predicted embolism in the main pulmonary artery (AUC = 0.957, p < 0.001). The optimal cut-off value was calculated to be 1.22 with 88% sensitivity and 90% specificity. Inferior vena cava diameter (IVCD)/Aortic Diameter (AD) significantly predicted embolism in the main pulmonary artery (AUC = 0.955, p < 0.001). The optimal cut-off value was calculated as 1.1 with 89% sensitivity and 88% specificity.
Conclusion: IVC and aortic ratio parameters determined by CTPA may be useful markers for predicting clot localization and evaluation of right ventricular disease in patients with pulmonary embolism.

Keywords: Pulmonary embolism, Inferior vena cava diameter, Aortic diameter, Tomography, Aortic Area, Inferior vena cava area


Emre Gökçen, Bilgehan Demir, Atakan Savrun, İbrahim Çaltekin, Gökhan Yıldırım, Hilal Korkmaz, Levent Albayrak, Şeyda Tuba Savrun. Evaluation of Inferior Vena Cava / Abdominal Aorta Diameter Index in Pulmonary Embolism. . 9999; 0: 

Corresponding Author: Emre Gökçen, Türkiye


TOOLS
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share
Send email to author

Similar articles
Google Scholar