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Review

Evaluating cardiopulmonary function following acute pulmonary embolism

ORCID Icon, ORCID Icon, , , ORCID Icon & ORCID Icon
Pages 747-760 | Received 07 May 2022, Accepted 29 Jul 2022, Published online: 08 Aug 2022

References

  • Konstantinides SV, Meyer G, Becattini C, et al. ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2019;2020(41):543–603.
  • Konstam MA, Kiernan MS, Bernstein D, et al. Evaluation and management of right-sided heart failure: a scientific statement from the American heart association. Circulation. 2018;137(20):e578–e622.
  • Turetz M, Sideris A, Friedman O, et al. Epidemiology, pathophysiology, and natural history of pulmonary embolism. Semin Intervent Rad. 2018;35(2):92–98.
  • Søgaard KK, Schmidt M, Pedersen L, et al. 30-year mortality after venous thromboembolism: a population-based cohort study. Circulation. 2014;130(10):829–836.
  • Huisman MV, Barco S, Cannegieter SC, et al. Pulmonary embolism. Nat Rev Dis Primers. 2018;4(1):18028.
  • Stevens SM, Woller SC, Kreuziger LB, et al. Antithrombotic therapy for VTE disease: second update of the CHEST guideline and expert panel report. Chest. 2021;160(6):e545–e608.
  • Dalen JE, Banas JS, Brooks HL, et al. Resolution rate of acute pulmonary embolism in man. New Engl J Medicine. 1969;280(22):1194–1199.
  • Murphy ML, Bulloch RT. Factors influencing the restoration of blood flow following pulmonary embolization as determined by angiography and scanning. Circulation. 1968;38(6):1116–1126.
  • Picart G, Robin P, Tromeur C, et al. Predictors of residual pulmonary vascular obstruction after pulmonary embolism: results from a prospective cohort study. Thromb Res. 2020;194:1–7.
  • Chung T, Emmett L, Mansberg R, et al. Natural history of right ventricular dysfunction after acute pulmonary embolism. J Am Soc Echocardiogr. 2007;20(7):885–894.
  • Xi Q, Zhao Z, Liu Z, et al. The lowest VE/VCO2 ratio best identifies chronic thromboembolic pulmonary hypertension. Thromb Res. 2014;134(6):1208–1213.
  • Es J, Douma RA, Kamphuisen PW, et al. Clot resolution after 3 weeks of anticoagulant treatment for pulmonary embolism: comparison of computed tomography and perfusion scintigraphy. J Thromb Haemost. 2013;11(4):679–685.
  • Nijkeuter M, Hovens MMC, Davidson BL, et al. Resolution of thromboemboli in patients with acute pulmonary embolism a systematic review. Chest. 2006;129(1):192–197.
  • Keller K, Tesche C, Gerhold‐Ay A, et al. Quality of life and functional limitations after pulmonary embolism and its prognostic relevance. J Thromb Haemost. 2019;17(11):1923–1934.
  • Klok FA, van der HT, Exter PLD, et al., The post-PE syndrome: a new concept for chronic complications of pulmonary embolism. Blood Rev. 2014;28(6):221–226.
  • Klok FA, Ageno W, Ay C, et al. Optimal follow-up after acute pulmonary embolism: a position paper of the European Society of Cardiology working group on pulmonary circulation and right ventricular function, in collaboration with the European Society Of Cardiology working group on atherosclerosis and vascular biology, endorsed by the European Respiratory Society. Eur Heart J. 2021;43:183–189.
  • Hoeper MM, Mayer E, Simonneau G, et al. Chronic thromboembolic pulmonary hypertension. Circulation. 2006;113(16):2011–2020.
  • McCabe C, Dimopoulos K, Pitcher A, et al. Chronic thromboembolic disease following pulmonary embolism: time for a fresh look at old clot. Eur Respir J. 2020;55(4):1901934.
  • Cho JH, Sridharan GK, Kim SH, et al., Right ventricular dysfunction as an echocardiographic prognostic factor in hemodynamically stable patients with acute pulmonary embolism: a meta-analysis. BMC Cardiovasc Disord. 2014;14(1):64.
  • Barco S, Mahmoudpour SH, Planquette B, et al. Prognostic value of right ventricular dysfunction or elevated cardiac biomarkers in patients with low-risk pulmonary embolism: a systematic review and meta-analysis. Eur Heart J. 2019;40(11):902–910.
  • Stein PD, Fowler SE, Goodman LR, et al. Multidetector computed tomography for acute pulmonary embolism. New Engl J Med. 2006;354(22):2317–2327.
  • Becattini C, Agnelli G, Germini F, et al. Computed tomography to assess risk of death in acute pulmonary embolism: a meta-analysis. Eur Respir J. 2014;43(6):1678–1690.
  • Tunariu N, Gibbs SJR, and Win Z, et al., Ventilation–perfusion scintigraphy is more sensitive than multidetector CTPA in detecting chronic thromboembolic pulmonary disease as a treatable cause of pulmonary hypertension. J Nucl Med. 2007;48(5):680–684.
  • Dournes G, Verdier D, Montaudon M, et al. Dual-energy CT perfusion and angiography in chronic thromboembolic pulmonary hypertension: diagnostic accuracy and concordance with radionuclide scintigraphy. Eur Radiol. 2014;24(1):42–51.
  • Tsuchiya N, Ej van B, Ohno Y, et al. Magnetic resonance angiography for the primary diagnosis of pulmonary embolism: a review from the international workshop for pulmonary functional imaging. World J Radiol. 2018;10(6):52–64.
  • Zhang LJ, Zhou CS, Schoepf UJ, et al. Dual-energy CT lung ventilation/perfusion imaging for diagnosing pulmonary embolism. Eur Radiol. 2013;23(10):2666–2675.
  • Goldhaber SZ, Elliott CG. Acute pulmonary embolism: part I: epidemiology, pathophysiology, and diagnosis. Circulation. 2003;22(22):2726–2729.
  • Lyhne MD, Kline JA, Nielsen-Kudsk JE, et al. Pulmonary vasodilation in acute pulmonary embolism – a systematic review. Pulm Circ. 2020;10(1):2045894019899775.
  • Naeije R, Brimioulle S, Dewachter L. Biomechanics of the right ventricle in health and disease (2013 Grover conference series). Pulm Circ. 2014;4(3):395–406.
  • Harjola V-P, Mebazaa A, Čelutkienė J, et al. Contemporary management of acute right ventricular failure: a statement from the heart failure association and the working group on pulmonary circulation and right ventricular function of the European Society of Cardiology: contemporary management of acute RV failure. Eur J Heart Fail. 2016;18(3):226–241.
  • Gerges C, Skoro-Sajer N, Lang IM. Right ventricle in acute and chronic pulmonary embolism (2013 Grover conference series). Pulm Circ. 2014;4(3):378–386.
  • Fields JM, Davis J, Girson L, et al. Transthoracic echocardiography for diagnosing pulmonary embolism: a systematic review and meta-analysis. J Am Soc Echocardiogr. 2017;30(7):714–23.e4.
  • Bova C, Greco F, Misuraca G, et al. Diagnostic utility of echocardiography in patients with suspected pulmonary embolism. Am J Emerg Med. 2003;21(3):180–183.
  • Kurnicka K, Lichodziejewska B, Goliszek S, et al. Echocardiographic pattern of acute pulmonary embolism: analysis of 511 consecutive patients. J Am Soc Echocardiogr. 2016;29(9):907–913.
  • Shah BN, Ahmadvazir S, Pabla JS, et al. The role of urgent transthoracic echocardiography in the evaluation of patients presenting with acute chest pain. Eur J Emerg Med. 2012;19(5):277–283.
  • Reza N, Dudzinski DM. Pulmonary embolism response teams. Curr Treat Options Cardiovasc Med. 2015;17(6):27.
  • Rivera-Lebron B, McDaniel M, Ahrar K, et al. Diagnosis, treatment and follow up of acute pulmonary embolism: consensus practice from the PERT consortium. Clin Appl Thromb Hemost. 2019;25:1076029619853037.
  • Brailovsky Y, Allen S, Masic D, et al. Risk stratification of acute pulmonary embolism. Curr Treat Options Cardiovasc Med. 2021;23(7):48.
  • Sanchez O, Trinquart L, and Colombet I, et al., Prognostic value of right ventricular dysfunction in patients with haemodynamically stable pulmonary embolism: a systematic review. Eur Heart J. 2008;29(12):1569–1577.
  • Kabrhel C, Okechukwu I, Hariharan P, et al. Factors associated with clinical deterioration shortly after PE. Thorax. 2014;69(9):835–842.
  • Grifoni S, Olivotto I, Cecchini P, et al. Short-term clinical outcome of patients with acute pulmonary embolism, normal blood pressure, and echocardiographic right ventricular dysfunction. Circulation. 2000;101(24):2817–2822.
  • Ribeiro A, Lindmarker P, Juhlin-Dannfelt A, et al. Echocardiography Doppler in pulmonary embolism: right ventricular dysfunction as a predictor of mortality rate. Am Heart J. 1997;134(3):479–487.
  • Lobo JL, Holley A, Tapson V, et al. Prognostic significance of tricuspid annular displacement in normotensive patients with acute symptomatic pulmonary embolism. J Thromb Haemost. 2014;12(7):1020–1027.
  • Jaff MR, McMurtry MS, Archer SL, et al. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American heart association. Circulation. 2011;123(16):1788–1830.
  • Dudzinski DM, Hariharan P, Parry BA, et al. Assessment of right ventricular strain by computed tomography versus echocardiography in acute pulmonary embolism. Acad Emerg Med. 2017;24(3):337–343.
  • Kjaergaard J, Schaadt BK, Lund JO, et al. Quantification of right ventricular function in acute pulmonary embolism: relation to extent of pulmonary perfusion defects. Eur J Echocardiogr. 2008;9(5):641–645.
  • Frémont B, Pacouret G, Jacobi D, et al. Prognostic value of echocardiographic right/left ventricular end-diastolic diameter ratio in patients with acute pulmonary embolism results from a monocenter registry of 1,416 patients. Chest. 2008;133(2):358–362.
  • Pruszczyk P, Goliszek S, Lichodziejewska B, et al. Prognostic value of echocardiography in normotensive patients with acute pulmonary embolism. JACC Cardiovasc Imaging. 2014;7(6):553–560.
  • Lyhne MD, Kabrhel C, Giordano N, et al. The echocardiographic ratio tricuspid annular plane systolic excursion/pulmonary arterial systolic pressure predicts short-term adverse outcomes in acute pulmonary embolism. Eur Heart J Cardiovasc Imaging. 2020;22(3):285–294.
  • Ciurzyński M, Kurnicka K, Lichodziejewska B, et al. Tricuspid Regurgitation Peak Gradient (TRPG)/Tricuspid Annulus Plane Systolic Excursion (TAPSE)- A novel parameter for stepwise echocardiographic risk stratification in normotensive patients with acute pulmonary embolism. Circ J. 2018;82(4):1179–1185.
  • Zanobetti M, Converti C, Conti A, et al. Prognostic value of emergency physician performed echocardiography in patients with acute pulmonary thromboembolism. West J Emerg Med. 2013;14(5):509–517.
  • Kurnicka K, Lichodziejewska B, Ciurzyński M, et al. Peak systolic velocity of tricuspid annulus is inferior to tricuspid annular plane systolic excursion for 30 days prediction of adverse outcome in acute pulmonary embolism. Cardiol J. 2020;27(5):558–565.
  • Roberts JD, Forfia PR. Diagnosis and assessment of pulmonary vascular disease by Doppler echocardiography. Pulm Circ. 2011;1(2):160–181.
  • Schmid E, Hilberath JN, Blumenstock G, et al. Tricuspid annular plane systolic excursion (TAPSE) predicts poor outcome in patients undergoing acute pulmonary embolectomy. Heart Lung Vessel. 2015;7(2):151–158.
  • McConnell MV, Solomon SD, Rayan ME, et al. Regional right ventricular dysfunction detected by echocardiography in acute pulmonary embolism. Am J Cardiol. 1996;78(4):469–473.
  • Park J-H, Kim JH, Lee J-H, et al. Evaluation of right ventricular systolic function by the analysis of tricuspid annular motion in patients with acute pulmonary embolism. J Cardiovasc Ultrasound. 2012;20(4):181–188.
  • Garvey S, Dudzinski DM, Giordano N, et al. Pulmonary embolism with clot in transit: an analysis of risk factors and outcomes. Thromb Res. 2020;187:139–147.
  • Barrios D, Rosa-Salazar V, Morillo R, et al. Prognostic significance of right heart thrombi in patients with acute symptomatic pulmonary embolism systematic review and meta-analysis. Chest. 2017;151(2):409–416.
  • Dudzinski DM, Giri J, Rosenfield K. Interventional treatment of pulmonary embolism. Circ Cardiovasc Interv. 2017;10(2):e004345.
  • Dudzinski DM, Piazza G. Multidisciplinary pulmonary embolism response teams. Circulation. 2016;133(1):98–103.
  • Torbicki A, Galié N, Covezzoli A, et al. Right heart thrombi in pulmonary embolism results from the international cooperative pulmonary embolism registry. J Am Coll Cardiol. 2003;41(12):2245–2251.
  • Brailovsky Y, Lakhter V, Weinberg I, et al. Right ventricular outflow Doppler predicts low cardiac index in intermediate risk pulmonary embolism. Clin Appl Thromb Hemost. 2019;25:1076029619886062.
  • Yuriditsky E, Mitchell OJL, Sista AK, et al. Right ventricular stroke distance predicts death and clinical deterioration in patients with pulmonary embolism. Thromb Res. 2020;195:29–34.
  • Witkin A, Wilcox SR, Chang Y, et al. Impact of chronic right ventricular pressure overload in short-term outcomes of acute pulmonary embolism: a retrospective analysis. J Crit Care. 2019;51:1–5.
  • Perelas A, Dimou A, Saenz A, et al. Incidental findings on computed tomography angiography in patients evaluated for pulmonary embolism. Ann Am Thorac Soc. 2015;12(5):689–695.
  • Ferreira EV, Gazzana MB, Sarmento MB, et al. Alternative diagnoses based on CT angiography of the chest in patients with suspected pulmonary thromboembolism. J Bras Pneumol. 2015;42(1):35–41.
  • Green DB, Raptis CA, Garin IAH, et al. Negative computed tomography for acute pulmonary embolism important differential diagnosis considerations for acute dyspnea. Radiol Clin North Am. 2015;53(4):789–799.
  • Strijen MJL, Bloem JL, Monye W, et al. Helical computed tomography and alternative diagnosis in patients with excluded pulmonary embolism. J Thromb Haemost. 2005;3(11):2449–2456.
  • Miura S, Ohno Y, Kimura H, et al. Quantitative lung perfused blood volume imaging on dual-energy CT: capability for quantitative assessment of disease severity in patients with acute pulmonary thromboembolism. Acta Radiol. 2014;56(3):284–293.
  • Sakamoto A, Sakamoto I, Nagayama H, et al. Quantification of lung perfusion blood volume with dual-energy CT: assessment of the severity of acute pulmonary thromboembolism. Am J Roentgenol. 2014;203(2):287–291.
  • Qanadli SD, Hajjam ME, Vieillard-Baron A, et al. New CT index to quantify arterial obstruction in pulmonary embolism: comparison with angiographic index and echocardiography. Am J Roentgenol. 2001;176(6):1415–1420.
  • Miller GAH, Sutton GC, Kerr IH, et al. Comparison of streptokinase and heparin in treatment of isolated acute massive pulmonary embolism. Br Med J. 1971;2(5763):681.
  • Mastora I, Remy-Jardin M, Masson P, et al. Severity of acute pulmonary embolism: evaluation of a new spiral CT angiographic score in correlation with echocardiographic data. Eur Radiol. 2003;13(1):29–35.
  • Choi K-J, Cha S-I, Shin K-M, et al. Factors determining clot resolution in patients with acute pulmonary embolism. Blood Coagul Fibrin. 2016;27(3):294–300.
  • John G, Marti C, Poletti P-A, et al. Hemodynamic indexes derived from computed tomography angiography to predict pulmonary embolism related mortality. Biomed Res Int. 2014;2014:363756–363758.
  • Schoepf UJ, Kucher N, Kipfmueller F, et al. Right ventricular enlargement on chest computed tomography. Circulation. 2004;110(20):3276–3280.
  • Meinel FG, Nance JW, Schoepf UJ, et al., Predictive value of computed tomography in acute pulmonary embolism: systematic review and meta-analysis. Am J Med. 2015;128(7):747–59.e2.
  • Ali H, Haddad D, Srinivasan A, et al. Correlation between non-gated chest CT and echocardiography in the assessment of the left ventricle. J Pulm Med Respir Res. 2018;4. 014.
  • Barrios D, Morillo R, Lobo JL, et al. Assessment of right ventricular function in acute pulmonary embolism. Am Heart J. 2017;185:123–129.
  • Ammari Z, Hasnie AA, Ruzieh M, et al. Prognostic value of computed tomography versus echocardiography derived right to left ventricular diameter ratio in acute pulmonary embolism. Am J Med Sci. 2021;361(4):445–450.
  • Lyhne MD, Schultz JG, MacMahon PJ, et al. Septal bowing and pulmonary artery diameter on computed tomography pulmonary angiography are associated with short-term outcomes in patients with acute pulmonary embolism. Emerg Radiol. 2019;26(6):623–630.
  • Heidinger BH, DaBreo D, Kirkbride RR, et al. Risk assessment of acute pulmonary embolism utilizing coronary artery calcifications in patients that have undergone CT pulmonary angiography and transthoracic echocardiography. Eur Radiol. 2021;31(5):2809–2818.
  • Bonnefoy P-B, Prevot N, Mehdipoor G, et al. Ventilation/perfusion (V/Q) scanning in contemporary patients with pulmonary embolism: utilization rates and predictors of use in a multinational study. J Thromb Thrombolysis. 2022;53(4):829–840.
  • Stals MAM, Klok FA, Huisman MV. Diagnostic management of acute pulmonary embolism in special populations. Expert Rev Resp Med. 2020;14(7):729–736.
  • Tromeur C, van der PLM, Roux P-YL, et al. Computed tomography pulmonary angiography versus ventilation-perfusion lung scanning for diagnosing pulmonary embolism during pregnancy: a systematic review and meta-analysis. Haematologica. 2019;104(1):176–188.
  • Revel MP, Sanchez O, Couchons S, et al. Diagnostic accuracy of magnetic resonance imaging for an acute pulmonary embolism: results of the ‘IRM‐EP’ study. J Thromb Haemost. 2012;10(5):743–750.
  • Alzghoul BN, Reddy R, Chizinga M, et al. Pulmonary embolism in acute asthma exacerbation: clinical characteristics, prediction model and hospital outcomes. Lung. 2020;198(4):661–669.
  • Aleva FE, Voets LWLM, Simons SO, et al. Prevalence and localization of pulmonary embolism in unexplained acute exacerbations of COPD. Chest. 2017;151(3):544–554.
  • Ribeiro A, Lindmarker P, Johnsson H, et al. Pulmonary embolism: one-year follow-up with echocardiography Doppler and five-year survival analysis. Circulation. 1999;99(10):1325–1330.
  • Albaghdadi MS, Dudzinski DM, Giordano N, et al., Cardiopulmonary exercise testing in patients following massive and submassive pulmonary embolism. J Am Heart Assoc. 2018;7(5):e006841.
  • Vavera Z, Elias P, Ryska P, et al. Computed tomography pulmonary embolism residual index (CTPER-index): a simple tool for pulmonary embolism residual description. Anatol J Cardiol. 2016;16(4):270–275.
  • Ciurzyński M, Kurzyna M, Bochowicz A, et al. Long‐term effects of acute pulmonary embolism on echocardiographic Doppler indices and functional capacity. Clin Cardiol. 2004;27(12):693–697.
  • Sista AK, Miller LE, Kahn SR, et al. * Persistent right ventricular dysfunction, functional capacity limitation, exercise intolerance, and quality of life impairment following pulmonary embolism: systematic review with meta-analysis. Vasc Med. 2017;22(1):37–43.
  • Kline JA, Steuerwald MT, and Marchick MR, et al., Prospective evaluation of right ventricular function and functional status 6 months after acute submassive pulmonary embolism frequency of persistent or subsequent elevation in estimated pulmonary artery pressure. Chest. 2009;136(5):1202–1210.
  • Lachant D, Bach C, Wilson B, et al. Clinical and imaging outcomes after intermediate- or high-risk pulmonary embolus. Pulm Circ. 2020;10(3):204589402095201.
  • Stevinson BG, Hernandez-Nino J, Rose G, et al. Echocardiographic and functional cardiopulmonary problems 6 months after first-time pulmonary embolism in previously healthy patients. Eur Heart J. 2007;28(20):2517–2524.
  • Barco S, Russo M, Vicaut E, et al. Incomplete echocardiographic recovery at 6 months predicts long-term sequelae after intermediate-risk pulmonary embolism. A post-hoc analysis of the Pulmonary Embolism Thrombolysis (PEITHO) trial. Clin Res Cardiol. 2019;108(7):772–778.
  • Park JS, Ahn J, Choi JH, et al. The predictive value of echocardiography for chronic thromboembolic pulmonary hypertension after acute pulmonary embolism in Korea. Korean J Intern Med. 2017;32(1):85–94.
  • Otero R, Oribe M, Ballaz A, et al., Echocardiographic assessment of pulmonary arterial pressure in the follow-up of patients with pulmonary embolism. Thromb Res. 2011;127(4):303–308.
  • Klok FA, Couturaud F, Delcroix M, et al. Diagnosis of chronic thromboembolic pulmonary hypertension after acute pulmonary embolism. Eur Respir J. 2020;55(6):2000189.
  • Galiè N, Humbert M, Vachiery J-L, et al. ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertensionThe joint task force for the diagnosis and treatment of pulmonary hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): endorsed by: association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). Eur Respir J. 2015;2015(46):903–975.
  • Witkin AS, Channick RN. Chronic thromboembolic pulmonary hypertension: the end result of pulmonary embolism. Curr Cardiol Rep. 2015;17(8):63.
  • Wang M, Wu D, and Ma R, et al., Comparison of V/Q SPECT and CT angiography for the diagnosis of chronic thromboembolic pulmonary hypertension. Radiology. 2020;296(2):420–429.
  • Rajaram S, Swift AJ, and Telfer A, et al., 3D contrast-enhanced lung perfusion MRI is an effective screening tool for chronic thromboembolic pulmonary hypertension: results from the ASPIRE registry. Thorax. 2013;68(7):677–678.
  • Ley S, Ley-Zaporozhan J, Pitton MB, et al. Diagnostic performance of state-of-the-art imaging techniques for morphological assessment of vascular abnormalities in patients with chronic thromboembolic pulmonary hypertension (CTEPH). Eur Radiol. 2012;22(3):607–616.
  • Reichelt A, Hoeper MM, Galanski M, et al. Chronic thromboembolic pulmonary hypertension: evaluation with 64-detector row CT versus digital substraction angiography. Eur J Radiol. 2009;71(1):49–54.
  • Ley S, Kauczor H-U, Heussel CP, et al. Value of contrast-enhanced MR angiography and helical CT angiography in chronic thromboembolic pulmonary hypertension. Eur Radiol. 2003;13(10):2365–2371.
  • Willemink MJ, van EHW, Koobs L, et al. CT evaluation of chronic thromboembolic pulmonary hypertension. Clin Radiol. 2012;67(3):277–285.
  • Hasegawa I, Boiselle PM, Hatabu H. Bronchial artery dilatation on MDCT scans of patients with acute pulmonary embolism: comparison with chronic or recurrent pulmonary embolism. Am J Roentgenol. 2004;182(1):67–72.
  • King MA, Ysrael M, Bergin CJ. Chronic thromboembolic pulmonary hypertension: CT findings. Am J Roentgenol. 1998;170(4):955–960.
  • Wittram C, Kalra MK, Maher MM, et al. Acute and chronic pulmonary emboli: angiography–CT correlation. Am J Roentgenol. 2006;186(6_supplement_2):S421–9.
  • Mahmud E, Madani MM, Kim NH, et al. Chronic thromboembolic pulmonary hypertension evolving therapeutic approaches for operable and inoperable disease. J Am Coll Cardiol. 2018;71(21):2468–2486.
  • Delcroix M, Vonk-Noordegraaf A, Fadel E, et al. Vascular and right ventricular remodelling in chronic thromboembolic pulmonary hypertension. Eur Respir J. 2012;41(1):224–232.
  • Endrys J, Hayat N, Cherian G. Comparison of bronchopulmonary collaterals and collateral blood flow in patients with chronic thromboembolic and primary pulmonary hypertension. Heart. 1997;78(2):171.
  • Heinrich M, Uder M, Tscholl D, et al. CT scan findings in chronic thromboembolic pulmonary hypertension: predictors of hemodynamic improvement after pulmonary thromboendarterectomy. Chest. 2005;127(5):1606–1613.
  • Kauczor H-U, Schwickert HC, Mayer E, et al. Spiral CT of bronchial arteries in chronic thromboembolism. J Comput Assist Tomo. 1994;18(6):855–861.
  • Ruigrok D, Meijboom LJ, Westerhof BE, et al., Right ventricular load and function in chronic thromboembolic pulmonary hypertension: differences between proximal and distal chronic thromboembolic pulmonary hypertension. Am J Respir Crit Care Med. 2019;199(9):1163–1166.
  • Remy-Jardin M, Delhaye D, Teisseire A, et al. MDCT of right ventricular function: impact of methodologic approach in estimation of right ventricular ejection fraction, part 2. Am J Roentgenol. 2006;187(6):1605–1609.
  • Devaraj A, Wells AU, Meister MG, et al. Detection of pulmonary hypertension with multidetector CT and echocardiography alone and in combination. Radiology. 2010;254(2):609–616.
  • Narechania S, Renapurkar R, Heresi GA. Mimickers of chronic thromboembolic pulmonary hypertension on imaging tests: a review. Pulm Circ. 2020;10(1):2045894019882620.
  • Masy M, Giordano J, Petyt G, et al., Dual-energy CT (DECT) lung perfusion in pulmonary hypertension: concordance rate with V/Q scintigraphy in diagnosing chronic thromboembolic pulmonary hypertension (CTEPH). Eur Radiol. 2018;28(12):5100–5110.
  • Hong YJ, Kim JY, Choe KO, et al. Different perfusion pattern between acute and chronic pulmonary thromboembolism: evaluation with two-phase dual-energy perfusion CT. Am J Roentgenol. 2013;200(4):812–817.
  • Giordano J, Khung S, Duhamel A, et al. Lung perfusion characteristics in pulmonary arterial hypertension (PAH) and peripheral forms of chronic thromboembolic pulmonary hypertension (pCTEPH): dual-energy CT experience in 31 patients. Eur Radiol. 2016;27(4):1631–1639.
  • Tsutsumi Y, Iwano S, Okumura N, et al. Assessment of severity in chronic thromboembolic pulmonary hypertension by quantitative parameters of dual-energy computed tomography. J Comput Assist Tomo. 2020;44(4):578–585.
  • Saeedan MB, Bullen J, Heresi GA, et al. Morphologic and functional dual-energy CT parameters in patients with chronic thromboembolic pulmonary hypertension and chronic thromboembolic disease. Am J Roentgenol. 2020;215(6):1335–1341.
  • Koike H, Sueyoshi E, Sakamoto I, et al. Quantification of lung perfusion blood volume (lung PBV) by dual-energy CT in patients with chronic thromboembolic pulmonary hypertension (CTEPH) before and after balloon pulmonary angioplasty (BPA): preliminary results. Eur J Radiol. 2016;85(9):1607–1612.
  • Lu G-M, Wu S-Y, Yeh BM, et al. Dual-energy computed tomography in pulmonary embolism. Br J Radiol. 2010;83(992):707–718.
  • Desai A, Malaisrie SC, Cuttica M, et al. Dual-energy computed tomography as an alternative noninvasive study for evaluation of chronic thromboembolic pulmonary hypertension postoperatively. Circ Cardiovasc Imaging. 2020;13(5):e010168.
  • Alsady TM, Kaireit TF, Behrendt L, et al. Comparison of dual-energy computer tomography and dynamic contrast-enhanced MRI for evaluating lung perfusion defects in chronic thromboembolic pulmonary hypertension. Plos One. 2021;16(6):e0251740.
  • Zhang LJ, Yang GF, Zhao YE, et al. Detection of pulmonary embolism using dual-energy computed tomography and correlation with cardiovascular measurements: a preliminary study. Acta Radiol. 2009;50(8):892–901.
  • Delcroix M, Torbicki A, Gopalan D, et al., ERS statement on chronic thromboembolic pulmonary hypertension. Eur Respir J. 2021;57(6):2002828.
  • Kim NH, Delcroix M, Jais X, et al. Chronic thromboembolic pulmonary hypertension. Eur Respir J. 2019;53(1):1801915.
  • Derenoncourt P-R, Felder GJ, Royal HD, et al. Ventilation-perfusion scan: a primer for practicing radiologists. Radiographics. 2021;41(7):2047–2070.
  • Roach PJ, Schembri GP, Bailey DL. V/Q scanning using SPECT and SPECT/CT. J Nucl Med. 2013;54(9):1588–1596.
  • He J, Fang W, Lv B, et al. Diagnosis of chronic thromboembolic pulmonary hypertension. Nucl Med Commun. 2012;33(5):459–463.
  • Chopard R, Genet B, Ecarnot F, et al. Detection of residual pulmonary vascular obstruction by ventilation-perfusion lung scan late after a first pulmonary embolism. Am J Cardiol. 2017;119(11):1883–1889.
  • Meneveau N, Ider O, Seronde M-F, et al. Long-term prognostic value of residual pulmonary vascular obstruction at discharge in patients with intermediate- to high-risk pulmonary embolism. Eur Heart J. 2013;34(9):693–701.
  • Sanchez O, Helley D, Couchon S, et al. Perfusion defects after pulmonary embolism: risk factors and clinical significance. J Thromb Haemost. 2010;8(6):1248–1255.
  • Phillips DB, Collins SÉ, Stickland MK. Measurement and interpretation of exercise ventilatory efficiency. Front Physiol. 2020;11:659.
  • Kline JA, Meek S, Boudrow D, et al. Use of the alveolar dead space fraction (Vd/Vt) and plasma D‐dimers to exclude acute pulmonary embolism in ambulatory patients. Acad Emerg Med. 1997;4(9):856–863.
  • Piirilä P, Laiho M, Mustonen P, et al. Reduction in membrane component of diffusing capacity is associated with the extent of acute pulmonary embolism. Clin Physiol Funct Imaging. 2011;31(3):196–202.
  • Topilsky Y, Hayes CL, Khanna AD, et al. Cardiopulmonary exercise test in patients with subacute pulmonary emboli. Heart Lung. 2012;41(2):125–136.
  • Huang D, Guo J, Yang W, et al. Exercise capacity and ventilatory efficiency in patients with pulmonary embolism after short duration of anticoagulation therapy. Am J Med Sci. 2020;359(3):140–146.
  • Yan -W-W, Wang L-M, Che L, et al. Quantitative evaluation of cardiopulmonary functional reserve in treated patients with pulmonary embolism. Chin Med J (Engl). 2012;125(3):465–469.
  • Kahn SR, Hirsch AM, Akaberi A, et al. Functional and exercise limitations after a first episode of pulmonary embolism results of the ELOPE prospective cohort study. Chest. 2017;151(5):1058–1068.
  • Johns CS, Wild JM, Rajaram S, et al. Identifying at-risk patients with combined pre- and postcapillary pulmonary hypertension using interventricular septal angle at cardiac MRI. Radiology. 2018;289(1):61–68.
  • Swift AJ, Wild JM, Nagle SK, et al. Quantitative magnetic resonance imaging of pulmonary hypertension. J Thorac Imaging. 2014;29(2):68–79.
  • Hagger D, Condliffe R, Woodhouse N, et al. Ventricular mass index correlates with pulmonary artery pressure and predicts survival in suspected systemic sclerosis-associated pulmonary arterial hypertension. Rheumatology. 2009;48(9):1137–1142.
  • Saunders LC, Hughes PJC, and Alabed S, et al., Integrated cardiopulmonary MRI assessment of pulmonary hypertension. J Magn Reson Imaging. 2022;55(3):633–652.
  • Quail MA, Knight DS, Steeden JA, et al. Noninvasive pulmonary artery wave intensity analysis in pulmonary hypertension. Am J Physiol Heart Circ Physiol. 2015;308(12):H1603–11.
  • Johns CS, Swift AJ, Rajaram S, et al. Lung perfusion: MRI vs. SPECT for screening in suspected chronic thromboembolic pulmonary hypertension. J Magn Reson Imaging. 2017;46(6):1693–1697.
  • Marshall H, Kiely DG, Parra-Robles J, et al. Magnetic resonance imaging of ventilation and perfusion changes in response to pulmonary endarterectomy in chronic thromboembolic pulmonary hypertension. Am J Respir Crit Care Med. 2014;190(5):e18–e19.
  • Mai VM, Liu B, Li W, et al. Influence of oxygen flow rate on signal and T1 changes in oxygen‐enhanced ventilation imaging. J Magn Reson Imaging. 2002;16(1):37–41.
  • Rajaram S, Swift AJ, Capener D, et al. Diagnostic accuracy of contrast-enhanced MR angiography and unenhanced proton MR imaging compared with CT pulmonary angiography in chronic thromboembolic pulmonary hypertension. Eur Radiol. 2012;22(2):310–317.
  • Voskrebenzev A, Gutberlet M, Klimeš F, et al. Feasibility of quantitative regional ventilation and perfusion mapping with phase‐resolved functional lung (PREFUL) MRI in healthy volunteers and COPD, CTEPH, and CF patients. Magn Reson Med. 2018;79(4):2306–2314.
  • Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J. 2005;26(5):948–968.
  • Suda R, Tanabe N, Ishida K, et al. Prognostic and pathophysiological marker for patients with chronic thromboembolic pulmonary hypertension: usefulness of diffusing capacity for carbon monoxide at diagnosis. Respirology. 2017;22(1):179–186.
  • Akizuki M, Serizawa N, Ueno A, et al. Effect of balloon pulmonary angioplasty on respiratory function in patients with chronic thromboembolic pulmonary hypertension. Chest. 2017;151(3):643–649.
  • Li X, Zhang Y, Luo Q, et al. Diffusing capacity for carbon monoxide predicts response to balloon pulmonary angioplasty in patients with inoperable chronic thromboembolic pulmonary hypertension. Front Cardiovasc Med. 2021;8:762267.
  • Laboratories AC on PS for CPF. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2012;166:111–117.
  • Chow V, Ng ACC, Seccombe L, et al. Impaired 6-min walk test, heart rate recovery and cardiac function post pulmonary embolism in long-term survivors. Resp Med. 2014;108(10):1556–1565.
  • Taboada D, Pepke-Zaba J, Jenkins DP, et al. Outcome of pulmonary endarterectomy in symptomatic chronic thromboembolic disease. Eur Respir J. 2014;44(6):1635–1645.
  • Inami T, Kataoka M, Kikuchi H, et al. Balloon pulmonary angioplasty for symptomatic chronic thromboembolic disease without pulmonary hypertension at rest. Int J Cardiol. 2019;289:116–118.
  • Konstantinides SV, Vicaut E, Danays T, et al. Impact of thrombolytic therapy on the long-term outcome of intermediate-risk pulmonary embolism. J Am Coll Cardiol. 2017;69:1536–1544.
  • Kucher N, Boekstegers P, Müller OJ, et al. Randomized, controlled trial of ultrasound-assisted catheter-directed thrombolysis for acute intermediate-risk pulmonary embolism. Circulation. 2014;129(4):479–486.

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