Latest & greatest articles for pulmonary embolism

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Top results for pulmonary embolism

1. Vena caval filters for the prevention of pulmonary embolism. (Abstract)

Vena caval filters for the prevention of pulmonary embolism. Pulmonary emboli (PE), or blood clots in the lungs,can be potentially fatal. Anticoagulation is the first line therapy to prevent PE. In some instances anticoagulation fails to prevent more emboli, or cannot be given because the person has a high risk of bleeding. Inferior vena caval filters (VCFs) are metal alloy devices that mechanically trap fragmented emboli from the deep leg veins en route to the pulmonary circulation (...) . Retrievable filters are designed to be introduced and removed percutaneously. Although their deployment seems of theoretical benefit, their clinical efficacy and adverse event profile is unclear. This is the third update of a Cochrane Review first published in 2007.To assess the evidence for the effectiveness and safety of vena caval filters (VCFs) in preventing pulmonary embolism (PE).For this review update, the Cochrane Vascular Information Specialist (CIS) searched the Specialised Register (last

2020 Cochrane

2. Meta-Analysis of the Usefulness of Inferior Vena Cava Filters in Massive and Submassive Pulmonary Embolism

Meta-Analysis of the Usefulness of Inferior Vena Cava Filters in Massive and Submassive Pulmonary Embolism Meta-Analysis of the Usefulness of Inferior Vena Cava Filters in Massive and Submassive Pulmonary Embolism - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 is an emerging, rapidly evolving situation. Get the latest (...) there aren't any new results Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Am J Cardiol Actions . 2020 Aug 1;128:54-59. doi: 10.1016/j.amjcard.2020.05.001. Epub 2020 May 15. Meta-Analysis of the Usefulness of Inferior Vena Cava Filters in Massive and Submassive Pulmonary Embolism , , , , , Affiliations

2020 EvidenceUpdates

3. Surgical Pulmonary Embolectomy Outcomes for Acute Pulmonary Embolism (Full text)

Thorac Surg Actions . 2020 Mar 6;S0003-4975(20)30345-3. doi: 10.1016/j.athoracsur.2020.01.075. Online ahead of print. Surgical Pulmonary Embolectomy Outcomes for Acute Pulmonary Embolism , , , , , , , , , , , , Affiliations Expand Affiliations 1 Division of Cardiac Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania. 2 Faculty of Medicine, University of Chile, Santiago, Chile. 3 Division of Critical Care, Pulmonary/Allergy, and Immunology, Thomas Jefferson University, Philadelphia (...) Review Surgical Pulmonary Embolectomy Outcomes for Acute Pulmonary Embolism Jae Hwan Choi et al. Ann Thorac Surg . 2020 . Show details Ann Thorac Surg Actions . 2020 Mar 6;S0003-4975(20)30345-3. doi: 10.1016/j.athoracsur.2020.01.075. Online ahead of print. Authors , , , , , , , , , , , , Affiliations 1 Division of Cardiac Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania. 2 Faculty of Medicine, University of Chile, Santiago, Chile. 3 Division of Critical Care, Pulmonary/Allergy

2020 EvidenceUpdates PubMed abstract

4. Assessment of the Bova score for risk stratification of acute normotensive pulmonary embolism: A systematic review and meta-analysis

Assessment of the Bova score for risk stratification of acute normotensive pulmonary embolism: A systematic review and meta-analysis Assessment of the Bova score for risk stratification of acute normotensive pulmonary embolism: A systematic review and meta-analysis - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes (...) of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Thromb Res Actions . 2020 May 29;193:99-106. doi: 10.1016/j.thromres.2020.05.047. Online ahead of print. Assessment of the Bova score for risk stratification of acute normotensive pulmonary embolism: A systematic review and meta-analysis , , , , , , Affiliations Expand Affiliations 1 Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan

2020 EvidenceUpdates

5. Are Recanalization Interventions Effective and Safe in the Treatment of Acute Pulmonary Embolism? (Full text)

-sided heart strain. x 3 Goldhaber, S.Z., Visani, L., and De Rosa, M. Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet . 1999 ; 353 : 1386–1389 | | | | | , x 4 Kearon, C., Akl, E.A., Ornelas, J. et al. Antithrombotic therapy for VTE disease: CHEST guideline expert panel report. Chest . 2016 ; 149 : 315–352 | | | | | Full-dose thrombolysis may be beneficial in hemodynamically unstable patients with pulmonary embolism (...) , but this therapy increases the risk of major bleeding. x 4 Kearon, C., Akl, E.A., Ornelas, J. et al. Antithrombotic therapy for VTE disease: CHEST guideline expert panel report. Chest . 2016 ; 149 : 315–352 | | | | | , x 5 Meyer, G., Vicaut, E., Danays, T. et al. Fibrinolysis for patients with intermediate-risk pulmonary embolism. N Engl J Med . 2014 ; 370 : 1402–1411 | | | , x 6 Konstantinides, S.V., Torbicki, A., Agnelli, G. et al. 2014 ESC guidelines on the diagnosis and management of acute pulmonary

2020 Annals of Emergency Medicine Systematic Review Snapshots PubMed abstract

6. A systematic review on internal jugular vein thrombosis and pulmonary embolism. (Abstract)

A systematic review on internal jugular vein thrombosis and pulmonary embolism. Whereas the internal jugular vein is the most common site of thrombosis in patients with deep venous thrombosis (DVT) of the upper extremity, the association between internal jugular vein thrombus and pulmonary embolism (PE) has not been clearly characterized. The objective of this paper was to determine the risk of embolization of an isolated internal jugular vein thrombus causing a clinically overt PE (...) resolution while carrying the risk of bleeding complications in these patients, who often have severe comorbidities.Despite the proximity of the jugular vein to the right side of the heart and the pulmonary vasculature, there is little proof of propagation of the thrombus to cause a clinically overt PE. Whereas current practice is to treat the patients with IJVT in the same way as patients with lower extremity DVTs are treated, the lack of any survival benefit in those with isolated IJVT and the risk

2020 Journal of vascular surgery. Venous and lymphatic disorders

7. Use of fragmented QRS in prognosticating clinical deterioration and mortality in pulmonary embolism: A meta-analysis. (Full text)

Use of fragmented QRS in prognosticating clinical deterioration and mortality in pulmonary embolism: A meta-analysis. Fragmented QRS (fQRS) on electrocardiography is potentially valuable in prognosticating acute pulmonary embolism (PE). ECG is one of the first tests performed in the emergency department, quickly interpretable, noninvasive, inexpensive, and available in remote areas. We aimed to review fQRS's role in PE prognostication.We searched MEDLINE, EMBASE, Google Scholar, Web of Science

2020 Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc PubMed abstract

8. Outcomes of extracorporeal life support for the treatment of acute massive pulmonary embolism: A systematic review. (Abstract)

Outcomes of extracorporeal life support for the treatment of acute massive pulmonary embolism: A systematic review. Massive pulmonary embolism (PE) can cause hemodynamic instability leading to high mortality. Extracorporeal life support (ECLS) has been increasingly used as a bridge to definitive therapy. This systematic review investigates the outcomes of ECLS for the treatment of massive PE.Electronic search was performed to identify all relevant studies published on ECLS use in patients (...) length of hospital stay was 22 [11, 39] days including 8 [5, 13] intensive care unit (ICU) days. The 30-day mortality rate was 22% (20/91).ECLS is safe and effective therapy in unstable patients with acute massive pulmonary embolism and offers acceptable outcomes.Copyright © 2019. Published by Elsevier B.V.

2020 Resuscitation

9. Right postoperative pleural effusion and pulmonary embolism following laparoscopic gynecological surgery: A rare case report and PRISMA-driven systematic review. (Full text)

1. Chest radiograph and chest computed tomography showed pleural effusion and pulmonary embolism. Pleural pigtail insertion was performed and anticoagulant medication, albumin, and lasix were given. The patient's recovery was uneventful. Several factors have been advanced to explain including the prolonged duration of the operation. Management options include supplemental oxygen therapy, and pigtail catheter insertion. Mechanical prophylaxis (sequential compression devices and graduated (...) Right postoperative pleural effusion and pulmonary embolism following laparoscopic gynecological surgery: A rare case report and PRISMA-driven systematic review. The incidence of postlaparoscopic pleural effusion and pulmonary embolism were rare. However, it might be life-threatening. Therefore, confirming the risk factor and management is important. We present a 53-year-old woman with ovarian endometriosis arranged for laparoscopic surgery. However, desaturation was noted on postoperation day

2020 Journal of the Chinese Medical Association : JCMA PubMed abstract

10. A systematic literature review and meta-analysis of spectral CT compared to scintigraphy in the diagnosis of acute and chronic pulmonary embolisms. (Abstract)

A systematic literature review and meta-analysis of spectral CT compared to scintigraphy in the diagnosis of acute and chronic pulmonary embolisms. To examine the diagnostic accuracy of spectral CT pulmonary angiography (S-CTPA) using ventilation-perfusions lung scintigraphy (V/Q-scan) as a reference standard in the diagnosis of acute or chronic pulmonary embolism (APE/CPE) and chronic thromboembolic pulmonary hypertension (CTEPH).PubMed, Embase, Scopus, and Web of Science were searched

2020 European radiology

11. Pulmonary vasodilation in acute pulmonary embolism - a systematic review. (Full text)

Pulmonary vasodilation in acute pulmonary embolism - a systematic review. Acute pulmonary embolism is the third most common cause of cardiovascular death. Pulmonary embolism increases right ventricular afterload, which causes right ventricular failure, circulatory collapse and death. Most treatments focus on removal of the mechanical obstruction caused by the embolism, but pulmonary vasoconstriction is a significant contributor to the increased right ventricular afterload and is often left (...) in acute pulmonary embolism seems attractive but all come with a risk of systemic vasodilation or worsening of pulmonary ventilation-perfusion mismatch. In animal models of acute pulmonary embolism, modulators of the nitric oxide-cyclic guanosine monophosphate-protein kinase G pathway, endothelin pathway and prostaglandin pathway have been investigated. But only a small number of clinical case reports and prospective clinical trials exist. The aim of this review is to give an overview of the causes

2020 Pulmonary circulation PubMed abstract

12. Clinical features of pulmonary embolism in patients with lung cancer: A meta-analysis. (Full text)

Clinical features of pulmonary embolism in patients with lung cancer: A meta-analysis. Pulmonary embolism (PE) is correlated with increased mortality among patients with lung cancer (LC). The characteristics of patients with LC presenting with PE have not been fully established, and our meta-analysis aims to comprehensively investigate the clinical characteristics associated with PE in patients with LC to help physicians identify PE earlier in these patients.Multiple databases were searched (...) that history of chronic obstructive pulmonary disease (OR = 2.59, 95% CI: 1.09, 6.15; P = 0.03), adenocarcinoma (OR = 2.28, 95% CI: 1.88, 2.77; P < 0.01), advanced tumour stage (TNM III-IV vs. I-II, OR = 2.38, 95% CI: 1.99, 2.86; P < 0.01), history of central venous catheter (OR = 1.95, 95% CI: 1.36, 2.78; P < 0.01), history of chemotherapy (OR = 2.32, 95% CI: 1.80, 2.99, P < 0.01), high levels of D-dimer (WMD = 4.31, 95% CI: 2.53, 6.10; P < 0.01) and carcinoembryonic antigen (WMD = 10.30, 95% CI: 9.95

2020 PloS one PubMed abstract

13. YEARS Algorithm Versus Wells' Score: Predictive Accuracies in Pulmonary Embolism Based on the Gold Standard CT Pulmonary Angiography

YEARS Algorithm Versus Wells' Score: Predictive Accuracies in Pulmonary Embolism Based on the Gold Standard CT Pulmonary Angiography YEARS Algorithm Versus Wells' Score: Predictive Accuracies in Pulmonary Embolism Based on the Gold Standard CT Pulmonary Angiography - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History, and several other advanced (...) characters Choose a collection: Unable to load your collection due to an error Add Cancel Add to My Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation Crit Care Med Actions 2020 Feb 19 [Online ahead of print] YEARS Algorithm Versus Wells' Score: Predictive Accuracies in Pulmonary Embolism Based on the Gold Standard CT Pulmonary Angiography , , , , , , , Affiliations Expand Affiliations 1 Department of Anesthesia, Beni

2020 EvidenceUpdates

14. Diagnostic Accuracy of Dual-Energy CT in Detection of Acute Pulmonary Embolism: A Systematic Review and Meta-Analysis. (Full text)

Diagnostic Accuracy of Dual-Energy CT in Detection of Acute Pulmonary Embolism: A Systematic Review and Meta-Analysis. In this systematic review and meta-analysis, we aimed to investigate the accuracy of dual-energy computed tomography (DECT) in the detection of acute pulmonary embolism (PE).We searched Medline (via PubMed), EBSCO, Web of Science, Scopus, and the Cochrane Library for relevant published studies. We selected studies assessing the accuracy of DECT in the detection of PE. Quality

2020 Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes PubMed abstract

15. Ruling out pulmonary embolism across different subgroups of patients and healthcare settings: protocol for a systematic review and individual patient data meta-analysis (IPDMA). (Full text)

Ruling out pulmonary embolism across different subgroups of patients and healthcare settings: protocol for a systematic review and individual patient data meta-analysis (IPDMA). Diagnosing pulmonary embolism in suspected patients is notoriously difficult as signs and symptoms are non-specific. Different diagnostic strategies have been developed, usually combining clinical probability assessment with D-dimer testing. However, their predictive performance differs across different healthcare (...) settings, patient subgroups, and clinical presentation, which are currently not accounted for in the available diagnostic approaches.This is a protocol for a large diagnostic individual patient data meta-analysis (IPDMA) of currently available diagnostic studies in the field of pulmonary embolism. We searched MEDLINE (search date January 1, 1995, till August 25, 2016) to retrieve all primary diagnostic studies that had evaluated diagnostic strategies for pulmonary embolism. Two authors independently

2020 Diagnostic and prognostic research PubMed abstract

16. Clozapine associated pulmonary embolism: systematic review. (Full text)

Clozapine associated pulmonary embolism: systematic review. Background: Clozapine is a second-generation antipsychotic used in refractory schizophrenia. Clozapine can lead to pulmonary embolism (PE) by various mechanisms including immobility, weight gain and increased platelet aggregation. Objectives: We performed a systematic review on published cases of PE associated with clozapine. Methods: Comprehensive search of Medline, Embase and Cochrane library was done for relevant articles from

2020 Journal of community hospital internal medicine perspectives PubMed abstract

17. Systematic Review: The Role of Thrombolysis in Intermediate-Risk Pulmonary Embolism. (Abstract)

Systematic Review: The Role of Thrombolysis in Intermediate-Risk Pulmonary Embolism. This systemic review provides practicing emergency physicians updated information about the role of thrombolysis in the treatment of intermediate-risk pulmonary embolism.A PubMed literature search from January 1, 2005 to December 31, 2018 was conducted and limited to human clinical trials written in English with relevant keywords. High-quality studies were identified and then underwent a structured review (...) . Recommendations are made based on the literature review.Sixty-three articles met criteria for rigorous review, of which 13 were appropriate for citation in this review. Of these 13, there were 6 prospective studies and 7 retrospective studies.Thrombolysis, either catheter-directed or systemic, is a treatment option in the management of patients with intermediate-risk pulmonary embolism and a high likelihood of clinical deterioration. Each method of thrombolysis carries risks and benefits. Based

2020 The Journal of emergency medicine

18. Antipsychotic drugs and risk of developing venous thromboembolism and pulmonary embolism: A systematic review and meta-analysis. (Abstract)

Antipsychotic drugs and risk of developing venous thromboembolism and pulmonary embolism: A systematic review and meta-analysis. Antipsychotic (AP) medications is the cornerstone treatment for schizophrenia and some other psychiatric diseases. However, some observational studies suggest that these medications might increase the risk of venous thromboembolism (VTE) and pulmonary embolism (PE).The aim of this study was to assess whether AP medications are associated with the development of VTE

2020 Current vascular pharmacology

19. A Systematic Review of Double Low-dose CT Pulmonary Angiography in Pulmonary Embolism. (Abstract)

A Systematic Review of Double Low-dose CT Pulmonary Angiography in Pulmonary Embolism. The aim of this study is to perform a systematic review of the feasibility and clinical application of double low-dose CT pulmonary angiography (CTPA) in the diagnosis of patients with suspected pulmonary embolism.A total of 13 studies were found to meet selection criteria reporting both low radiation dose (70 or 80 kVp versus 100 or 120 kVp) and low contrast medium dose CTPA protocols. Lowdose CTPA resulted (...) quality (in terms of signal-to-noise ratio and contrast-to-noise ratio) showed that low-dose CTPA was associated with higher, lower and no change in image quality in 3, 3 and 6 studies, respectively when compared to the standard CTPA protocol. The subjective assessment indicated similar image quality in 11 studies between low-dose and standard CTPA groups, and improved image quality in 1 study with low-dose CTPA.This review shows that double low-dose CTPA is feasible in the diagnosis of pulmonary

2020 Current medical imaging reviews

20. Anticoagulant treatment for subsegmental pulmonary embolism. (Abstract)

Anticoagulant treatment for subsegmental pulmonary embolism. Acute pulmonary embolism (PE) is a common cause of death, accounting for 50,000 to 200,000 deaths annually. It is the third most common cause of mortality among the cardiovascular diseases, after coronary artery disease and stroke. The advent of multi-detector computed tomographic pulmonary angiography (CTPA) has allowed better assessment of PE regarding visualisation of the peripheral pulmonary arteries, increasing its rate (...) . However, the clinical significance in patients, and their prognosis, needs to be studied to evaluate whether anticoagulation therapy is required. This is the second update of the Cochrane systematic review published in 2014.To assess the effectiveness and safety of anticoagulation therapy versus control in patients with isolated subsegmental pulmonary embolism (SSPE) or incidental SSPE.The Cochrane Vascular Information Specialist searched the Cochrane Vascular Specialised Register, CENTRAL, MEDLINE

2020 Cochrane