Research Article
CT Pulmonary Angiography in COVID-19 Pneumonia: A Retrospective Study of Relationship between Pulmonary Embolism and Disease Severity
Panchal V1, Desai P2 and Wadhwani U2*
1Consultant radiologist, Govt Medical College, New Civil Hospital, Surat India
2Department of Radiodiagnosis and Imaging, Govt Medical College, New Civil Hospital, Surat India
2Department of Radiodiagnosis and Imaging, Govt Medical College, New Civil Hospital, Surat India
*Corresponding author: Udita Wadhwani, Department of Radio Diagnosis and Imaging, Govt Medical College and New Civil Hospital, Surat India Email: dharasavaliya61@gmail.com
Copyright: © 2023 Panchal V, et al. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article Information: Submission: 20/04/2023; Accepted: 28/08/2023; Published: 30/08/2023
Abstract
Introduction: Coagulopathy has been commonly reported in patients with COVID positive status. We conducted this study relationship between pulmonary embolism and covid 19 disease severity. clear understanding of rate of embolism, correlation with D dimer levels and the degree of involvement
of thrombosis can be of great help in management of COVID positive patients.
Study design and methods: In this observational retrospective study, conducted over a period of 2 months, all the suspected COVID patients referred to our institute with complaints of breathlessness and suspected to be having thromboembolism were included. These patients were first subjected to HRCT chest and were followed up for CTPA after patient’s symptoms worsened and were assessed the presence or absence of arterial thrombosis
Results: Out of the evaluated 34 patients, none of them were seen to have pulmonary thromboembolism in main pulmonary trunk, while 14 patients were found to have thrombosis involving right and left pulmonary arteries and their ascending and descending branches and all 34 patients were found to have thrombosis in segmental and subsegmental branches.
Interpretation: Thromboembolism, including pulmonary embolism, is one of the known and frequent complications in COVID patients. In cases with sudden clinical worsening CT Pulmonary angiography should be done to confirm pulmonary embolism which is a life-threatening but potentially treatable condition.
Study design and methods: In this observational retrospective study, conducted over a period of 2 months, all the suspected COVID patients referred to our institute with complaints of breathlessness and suspected to be having thromboembolism were included. These patients were first subjected to HRCT chest and were followed up for CTPA after patient’s symptoms worsened and were assessed the presence or absence of arterial thrombosis
Results: Out of the evaluated 34 patients, none of them were seen to have pulmonary thromboembolism in main pulmonary trunk, while 14 patients were found to have thrombosis involving right and left pulmonary arteries and their ascending and descending branches and all 34 patients were found to have thrombosis in segmental and subsegmental branches.
Interpretation: Thromboembolism, including pulmonary embolism, is one of the known and frequent complications in COVID patients. In cases with sudden clinical worsening CT Pulmonary angiography should be done to confirm pulmonary embolism which is a life-threatening but potentially treatable condition.
Keywords: COVID 19; Pneumonia; Pulmonary Embolism; CT Angiography
AbbreviationsCOVID-19, HRCT, CTPA