medigraphic.com
SPANISH

Acta Médica Grupo Angeles

Órgano Oficial del Hospital Angeles Health System
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
    • Names and affiliations of the Editorial Board
  • Policies
  • About us
    • Data sharing policy
    • Stated aims and scope
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2024, Number 4

<< Back Next >>

Acta Med 2024; 22 (4)

Sign of hyperdense vessel on plain chest CT scan assessed with brain window as an indicator of pulmonary thromboembolism in patients with clinical suspicion

Uriostegui FR, Ríos RJL, González VC
Full text How to cite this article 10.35366/117513

DOI

DOI: 10.35366/117513
URL: https://dx.doi.org/10.35366/117513

Language: Spanish
References: 15
Page: 264-268
PDF size: 318.18 Kb.


Key words:

hyperdense vessel, PE indicator, pulmonary embolism, tomography, CT, thorax.

ABSTRACT

Introduction: pulmonary embolism (PE) is a potentially fatal disease and is essential for an early diagnosis by imaging tests. The CT hyperdense vessel sign is an early finding of cerebral ischemia with prognostic and topographic value. Its viability at the pulmonary level is currently unknown. Objective: to determine whether the hyperdense vessel sign on the chest with cerebral window is an early indicator of PE in patients with clinical suspicion. Material and methods: an observational, cross-sectional, retrospective, analytical retrospective study was performed in the Radiology and Imaging of Hospital Angeles Mocel from January 2018 to October 2020. By non-probabilistic sampling, we selected 15 digital records of patients with a PET and CT chest history. Measures of central tendency, χ2, and Mann Whitney U, with p-value < 0.05, were used for the analysis. Results: 15 files were evaluated, with a mean age of 60. There was dependence between the type of PTE, with the type of affected artery (main) p = 0.03, and the type of thrombosis, with the sign of positive hyperdense vessel (p = 0.001). Conclusion: the probability of complete pulmonary thrombosis is six times higher when the CT hyperdense vessel sign is present.


REFERENCES

  1. Garro-Urbina V, Robles-Arce V, Rojas-Vázquez S. Presentación, diagnóstico y tratamiento del tromboembolismo venoso. Rev Medica Sinerg. 2020; 5 (2): e350.

  2. Piñar-Sancho G, Abarca-Zúñiga V, Moya-Corea S. Diagnóstico y manejo actualizado del tromboembolismo pulmonar agudo. Rev Medica Sinerg. 2021; 6 (1): e633.

  3. Flórez-González GA, Acevedo-Guiot AP. La importancia de la presunción clínica en el diagnóstico de tromboembolismo pulmonar de baja probabilidad: presentación de caso. Univ. Med. 2020; 61 (4): 156-161.

  4. Paizano-Vanega G, Fernández-Zúñiga E, Villalobos-Bonilla D. Diagnóstico de tromboembolismo pulmonar agudo. Rev Medica Sinerg. 2022; 7 (2): e757.

  5. Gómez-Melo LD, González-Pérez CA, León-Bernal D, Maldonado-Velasco AS, Ramírez Rodríguez JE, Ortiz-MI. Tromboembolia Pulmonar. Publicación semestral, Educación y Salud Boletín Científico Instituto de Ciencias de la Salud Universidad Autónoma del Estado de Hidalgo. 2022; 10 (2): 181-187. Disponible en: https://repository.uaeh.edu.mx/revistas/index.php/ICSA/article/view/8393/8974

  6. Arias-Rodríguez FD, Armijos-Quintero DA, Beltrán-Vinueza PA, Córdova-Macías DV, Guadamud-Loor JX, Osejos-Moreira WD et al. Diagnóstico y tratamiento de tromboembolia pulmonar. Revisión bibliográfica. Rev Mex Angiol. 2022; 50 (3). Disponible en: https://www.scielo.org.mx/pdf/rmang/v50n3/0377-4740-rma-50-3-96.pdf

  7. Marchiori E, Hochhegger B, Zanetti G. Hyperdensities within the pulmonary arteries. J Bras Pneumol. 2023; 49 (1): e20230048. doi: 10.36416/1806-3756/e20230048.

  8. Hepburn-Brown M, Darvall J, Hammerschlag G. Acute pulmonary embolism: a concise review of diagnosis and management: A review of acute pulmonary embolism. Intern Med J. 2019; 49 (1):15-27.

  9. Zhang Y, Begum HA, Grewal H, Etxeandia-Ikobaltzeta I, Morgano GP, Khatib R et al. Cost-effectiveness of diagnostic strategies for venous thromboembolism: a systematic review. Blood Adv. 2022; 6 (2): 544-567.

  10. Mínguez-Sabater H, Domingo-Monge FJ, Parra-Martínez J. Signo de la arteria cerebral posterior hiperdensa migratoria tras trombólisis intravenosa. Rev Neurol. 2020; 70 (11): 413-416.

  11. Motta-Ramírez GA. Diagnóstico de tromboembolia pulmonar mediante angiotomografía computada. Anales de Radiología México. 2017; 16 (3): 227-226.

  12. Blanco-Cabellos DJA, Hernández-Aceituno DD, López-Arcas Calleja DJM, Liaño-Esteso DG, Galobardes-Monge DMJ, Batiray-Polat DA. Cómo valorar correctamente un tac craneal: decálogo de recomendaciones para Residentes de Radiología (y no Residentes). seram. 2021; 1 (1). Disponible en: https://piper.espacio-seram.com/index.php/seram/article/view/4438

  13. Rodrigues W, Fortaleza JIM, Barros MG. Diagnóstico por protocolo del Tromboembolismo Pulmonar en tomografía computarizada: Protocol diagnosis of pulmonary thromboembolism in computed tomography. Epicentro Ciencias Salud. 2021; 1 (1): 35-42. Disponible en: http://epicentro.central.edu.py/index.php/epicentro/article/view/4

  14. Seguí MP, Mayor EN, Clapsos MV. Signo del vaso denso. Rev Argent Radiol. 2018; 82 (4): 190-192.

  15. Meza AR, Fernández PA. Utilidad de la angiografía pulmonar por tomografía computarizada en las salas de emergencia de un hospital nacional de EsSalud. Rev Medica Hered. 2019; 30 (1): 27.




Figure 1
Figure 2
Figure 3
Table 1

2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Med. 2024;22