1118, Diagnostic and Interventional Imaging, Vol. Current guidelines (1,5,6) recommend performing unenhanced chest CT to assess the COVID-19 CT pattern and its extension. 2, No. endstream 5 signes d'alerte d’une embolie pulmonaire | Santé Magazine 11, No. 6, American Journal of Neuroradiology, Vol. xmp.did:6f414279-119f-e44b-bfa6-8ddf34f0ab48 Finally, 100 patients with COVID-19 infection and severe clinical features were included and examined with contrast material–enhanced CT (Fig 1). Author contributions: Guarantors of integrity of entire study, F.G., J.B., E.D. Chest CT plays an important role in optimizing the treatment of patients with coronavirus disease 2019 (COVID-19) while also eliminating alternate diagnoses or added pathologic conditions, particularly for acute pulmonary embolism (1). Viewer, Table E3, Appendix E1, RSNA International Trends: A Global Perspective on the COVID-19 Pandemic and Radiology in Late 2020, COVID-19 Imaging: What We Know Now and What Remains Unknown, Pulmonary Embolism and Deep Vein Thrombosis in COVID-19: A Systematic Review and Meta-Analysis, Lethal COVID-19: Radiologic-Pathologic Correlation of the Lungs, Pulmonary COVID-19: Multimodality Imaging Examples, Chest CT in COVID-19: What the Radiologist Needs to Know, Multisystem Imaging Manifestations of COVID-19, Part 1: Viral Pathogenesis and Pulmonary and Vascular System Complications. 3, European Journal of Heart Failure, Vol. ). This retrospective study was approved by our institutional review board. 2021-04-28T10:48:33-07:00 Therefore, we routinely performed contrast-enhanced CT for patients with COVID-19 with severe clinical features to evaluate the lung parenchyma as well as to evaluate other complications that may result in respiratory distress. 120, No. 50, No. 1, Journal of Thrombosis and Thrombolysis, Vol. 9, No. 6, Journal of Thrombosis and Thrombolysis, Vol. 67, No. Online supplemental material is available for this article. 4, Journal of Computer Assisted Tomography, Vol. x�+� � | 7, 1 October 2020 | RadioGraphics, Vol. %PDF-1.6 1, Journal of Cardiothoracic and Vascular Anesthesia, Vol. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA, The Role of Chest Imaging in Patient Management during the COVID-19 Pandemic: A Multinational Consensus Statement from the Fleischner Society, https://doi.org/10.1148/radiol.2020201544, Open in Image 27, No. Pulmonary embolus was diagnosed a mean of 12 days from symptom onset. 4, International Journal of Environmental Research and Public Health, Vol. <>stream <>stream J’ai suivi un traitement anticoagulant pendant 6 mois. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. endobj 6 0 obj 2, Journal of Thrombosis and Thrombolysis, Vol. COVID-19 D-dimer factor VIII pulmonary embolism thrombosis von Willebrand factor W e report a case series of patients with coronavirus disease 2019 (CO-VID-19) with pulmonary embolism (PE) in our institution. 0, 15 December 2020 | Radiology, Vol. 6, Indian Journal of Medical Specialities, Vol. 7, Revista Española de Anestesiología y Reanimación (English Edition), Vol. 2, Journal of Clinical Imaging Science, Vol. 2, World Journal of Radiology, Vol. �x{0n���L�n��=i� 4���݊+x���O�g�>ɌaۖR)?�I�)���^x|!Ւ� �N�aM��>��G�2��O� 4 0 obj 98, No. Cette revue systématique des données publiées dans le monde entier sur la thromboembolie veineuse (TEV) chez les 134, No. endstream 130, Diabetes & Metabolic Syndrome: Clinical Research & Reviews, Vol. 6, Journal Européen des Urgences et de Réanimation, Vol. A, B, Axial CT images (lung windows) show peripheral ground-glass opacities (arrow in A) associated with areas of consolidation in dependent portions of the lung (white arrowhead). 8, Journal of Vascular Surgery: Venous and Lymphatic Disorders, Vol. �Olà��81Lj��"1瞭��o s#1r�B�rv�0r���3� x�+� � | 330, Journal of Personalized Medicine, Vol. L’embolie pulmonaire survient quand un caillot sanguin (thrombus) chemine dans les veines et vient obstruer les artères des poumons. 30, No. At multivariable analysis, pulmonary embolus was associated with invasive mechanical ventilation and male sex. 113, No. / endobj Enter your email address below and we will send you the reset instructions. 2, International Journal of Infectious Diseases, Vol. 9, No. Adobe InDesign CC 2015 (Windows) False Interestingly, extent of lesions was not associated with pulmonary embolus. 2, Egyptian Journal of Radiology and Nuclear Medicine, Vol. 15, No. 67, No. 102, No. 103, Journal of Clinical Medicine, Vol. <>>>/BBox[0 0 585 783]/Length 113>>stream uuid:6bd0c8b2-ca79-4acf-b410-abc60b4305df Plus rarement, la COVID-19 peut se compliquer de défaillance hémodynamique dans le cadre d’une myocardite fulminante ou d’une embolie pulmonaire massive et nécessiter alors la mise en place d’une ECMO veino-artérielle. 10, Frontiers in Cell and Developmental Biology, Vol. 7-8, © 2021 Radiological Society of North America, COVID-19 patients and the radiology department - advice from the European Society of Radiology (ESR) and the European Society of Thoracic Imaging (ESTI). xmp.did:DE4D607E8A24681180838231FB1F3433 1, Journal of Vascular Surgery: Venous and Lymphatic Disorders, Vol. Supplement_3, QJM: An International Journal of Medicine, Vol. 14, No. 6, 9 July 2020 | Radiology: Cardiothoracic Imaging, Vol. Elle est décédée des suites d’un arrêt cardiaque sur une embolie pulmonaire due au Covid-19. 3, Saudi Critical Care Journal, Vol. 10, European Journal of Nuclear Medicine and Molecular Imaging, Vol. Une étude de l'Hôpital universitaire de Zurich (USZ) auprès de 338 patients d'une clinique universitaire de Milan montre que beaucoup de patients souffrant de Of these 280 patients, 129 (46%) underwent CT a mean of 9 days ± 5 (standard deviation) after symptom onset. At multivariable analysis, requirement for mechanical ventilation (odds ratio = 3.8 [95% confidence interval: 1.02, 15], P = .049) remained associated with acute pulmonary embolus (Table E3, Appendix E1 [online]). 2, No. 52, No. Acute pulmonary embolism and COVID-19 pneumonia: a random association? 30, No. 32, No. The main objective of our study was to evaluate pulmonary embolus in association with COVID-19 infection by using pulmonary CT angiography. 11 0 obj 8 December 2020 | Radiology, Vol. 9, Academic Emergency Medicine, Vol. All analyses were performed with R version 3.4.4 software (R Core Team 2017, R Foundation for Statistical Computing, Vienna, Austria). In cases of discordance, a simultaneous reading to reach consensus was achieved. Involvement of the lung volume was estimated to be between 25% and 50%. endobj 4, Cardiovascular Drugs and Therapy, Vol. 11, World Journal of Radiology, Vol. 298, No. Therefore, the use of contrast-enhanced CT rather than routine unenhanced CT may be considered for these patients. 11, JACC: Cardiovascular Imaging, Vol. 12, International Journal of Infectious Diseases, Vol. 10, No. 5, Gynécologie Obstétrique Fertilité & Sénologie , Vol. 56, No. Les personnes considérées comme à risque sont les patients atteints d’un cancer, ayant récemment subi une intervention chirurgicale ou immobilisés pendant longtemps, ainsi que les femmes enceintes. 33, No. 12 0 obj 35, No. Patients with pulmonary embolus were more likely to require care in the critical care unit and to require mechanical ventilation compared with those without pulmonary embolus. 12, No. 27, No. 0, No. 216, No. 3, Frontiers in Cardiovascular Medicine, Vol. 2020, No. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username. 12, Annals of Internal Medicine, Vol. x�+� � | 299, No. 4, Journal of Stroke and Cerebrovascular Diseases, Vol. 12, Journal of Medical Imaging and Radiation Oncology, Vol. The chest CT scan pattern of COVID-19 and presence of pulmonary embolus were independently analyzed by two chest radiologists (J.B. and F.G., with 11 and 6 years of experience, respectively) using a picture archiving and communications system workstation (Carestream Health, Rochester, NY). 19, No. 5, Clinical Medicine (Russian Journal), Vol. Le risque élevé d'embolie pulmonaire chez les patients atteints de COVID-19 a déjà été largement évoqué avec les formes sévères de COVID-19, cette équipe de l’université de Vienne se concentre également sur celui de thrombose veineuse profonde moins documenté. 45, No. Furthermore, these patients have frequent risk factors for pulmonary embolus (eg, mechanical ventilation, intensive care unit admission). 14, No. had access to the study data. x�%�M�0����[B���v�s�D �C 45, No. Moundir victime d'une embolie pulmonaire : l'ex-aventurier n'est pas passé loin du drame sur le même thème Le 07/04/2021 à 11h18 92, No. 11, No. %���� J’ai 30 ans, j’ai fait une phlébite suivie d’une embolie pulmonaire il y a presque 1 an. from application/x-indesign to application/pdf 2020-07-02T22:27:43+05:30 2, The British Journal of Radiology, Vol. endobj 48, No. 23 patients sont décédés (13%). 216, No. CT scan settings were as follows: 120 kVp, collimation of 80 × 0.625 mm, rotation time of 0.28 second, average tube current of 300 mA, pitch of 0.992, and volume CT dose index of 4.28 mGy. 9, Clinical and Applied Thrombosis/Hemostasis, Vol. COVID-19= coronavirus disease 2019, RT-PCR = reverse-transcription polymerase chain reaction. ; and manuscript editing, all authors. 6, 9 October 2020 | RadioGraphics, Vol. 3, Journal of Cardiovascular Computed Tomography, Vol. COVID-19 Complicated by Acute Pulmonary Embolism, Review: Viral infections and mechanisms of thrombosis and bleeding, Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. 1, The British Journal of Radiology, Vol. 13, No. endobj 27, No. 9, CardioVascular and Interventional Radiology, Vol. If the address matches an existing account you will receive an email with instructions to reset your password. CT scans were obtained 10 days after the onset of coronavirus disease 2019 symptoms on the day the patient was transferred to the intensive care unit. Comparisons between categoric variables were performed by using the Pearson χ2 test or Fisher exact test. 4, 2 July 2020 | Radiology: Cardiothoracic Imaging, Vol. Pulmonary Thromboembolism in COVID-19: Venous Thromboembolism or Arterial Thrombosis? 50, No. 6, American Journal of Therapeutics, Vol. 3, International Journal of Cardiology, Vol. Our routine protocol for patients with severe clinical features of COVID-19 infection was multidetector pulmonary CT angiography using a 256-slice multidetector CT scanner (Revolution; GE Healthcare, Milwaukee, Wis) after intravenous injection of 60 mL iodinated contrast material (Iomeprol, 400 mg of iodine per milliliter; Bracco Imaging, Milan, Italy) at a flow rate of 4 mL/sec, triggered on the main pulmonary artery. 8, Revista Española de Anestesiología y Reanimación, Vol. 8, Journal of Clinical Medicine, Vol. P < .05 was indicative of a significant difference. <>stream 1 0 obj 51, No. It followed the ethical guidelines of the Declaration of Helsinki. x�S�*�*T0T0 B�����i������ yJ% 30, No. 18, No. 27, Interactive CardioVascular and Thoracic Surgery, Journal of Neuroradiology, Vol. Important clinical markers were not available that may explain or be associated with pulmonary embolus, including d-dimer level (only 22 of the 100 patients had d-dimer levels available). 4, The American Journal of Cardiology, Vol. The requirement for written informed consent was waived. 11, Journal of Medical Virology, Vol. 12, Baylor University Medical Center Proceedings, Vol. 2, The Lancet Infectious Diseases, Vol. Introduction. Elle a risqué l'embolie pulmonaire à cause du Covid-19, cette infirmière guérie raconte. Lorsque l’atteinte pulmonaire des patients Covid-19 nécessite une ventilation invasive (respirateur artificiel), le traitement symptomatique du SDRA est la ventilation mécanique. ); and Nanomedecine Laboratory, INSERM EA4662, University of Franche-Comte, 25000 Besançon, France (S.A., E.D. Malgré cela, 31 % d’entre eux ont eut des complications thrombotiques, qui huit fois sur 10 furent une embolie pulmonaire ! x�S�*�*T0T0 B�����i������ yA$ Par Lauriane Sandrini Le 10/04 à 15h22 MàJ 10/04 à 15h22. endobj 1, Current Problems in Diagnostic Radiology, Vol. <>stream converted Moundir - après le Covid-19, une embolie pulmonaire. �x{0n���L�n��=i� 4���݊+x���O�g�>ɌaۖR)?�I�)���^x|!Ւ� �N�aM��>��G�2��O� Convalescent après avoir contracté le coronavirus, Moundir a beaucoup de mal à se rétablir. Antécédents embolie pulmonaire et coronavirus. 2, No. endstream Medical Sciences, Vol. endstream x�%�M�0����[B���v�s�D �C 6, Journal of Medical Virology, Vol. 62, No. 94, No. 126, No. Our study points to a high prevalence of acute pulmonary embolism in patients with coronavirus disease 2019 (23% [95% confidence interval: 15%, 33%]). endobj <>>>/BBox[0 0 585 783]/Length 113>>stream Nevertheless, our results suggest that patients with severe clinical features of COVID-19 may have associated acute pulmonary embolus. 9 0 obj Je n’arrive pas à … 5, Research and Practice in Thrombosis and Haemostasis, Vol. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections. 42, No. application/pdf 47, No. x�S�*�*T0T0 B�����i������ y8# 17, No. endobj C, D, Coronal CT reformations (mediastinum windows) show bilateral lobar and segmental pulmonary embolism (arrows). 4, No. 56, No. The mean age of the included patients was 66 years ± 13, and there were 70 men and 30 women (Table). 4, Advances in Difference Equations, Vol. 63, No. Pulmonary Embolism at CT Pulmonary Angiography in Patients with COVID-19, Pulmonary Vascular Manifestations of COVID-19 Pneumonia, Six-month Follow-up Chest CT Findings after Severe COVID-19 Pneumonia, Temporal Changes of CT Findings in 90 Patients with COVID-19 Pneumonia: A Longitudinal Study, Pediatric Chest Radiographic and CT Findings of Electronic Cigarette or Vaping Product Use–associated Lung Injury (EVALI), Acute Pulmonary Embolism in Patients with COVID-19 at CT Angiography and Relationship to, Collateral Damage: CTA of Acute Pulmonary Embolism and Its Correlation with Evolution of COVID-19 Pneumonia, OnwARDS and UpwARDS TowARDS Understanding Acute Respiratory Distress Syndrome: A Comprehensive Imaging Review, Decoding the Devil! 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