2024, Number 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
Language: Spanish
References: 15
Page: 264-268
PDF size: 318.18 Kb.
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
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