Pulmonary embolism in patients with COVID-19: Time to change the paradigm of computed tomography

D C Rotzinger1, C Beigelman-Aubry1, C von Garnier2

  • 1Cardiothoracic and Vascular Division, Department of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland.

Thrombosis Research
|April 18, 2020
PubMed

Insights

CT pulmonary angiography may benefit COVID-19 patients with sudden clinical worsening. This imaging technique offers advantages over standard chest CT scans for evaluating these critical cases.

Area of Science:

  • Radiology
  • Pulmonary Medicine
  • Infectious Diseases

Background:

  • COVID-19 can cause sudden clinical deterioration in patients.
  • Standard non-contrast chest CT is commonly used for evaluation.
  • Limitations exist in standard CT for detecting specific complications.

Observation:

  • Sudden clinical worsening in COVID-19 patients warrants advanced imaging.
  • CT pulmonary angiography (CTPA) provides detailed vascular and parenchymal assessment.
  • Comparing CTPA to standard chest CT is crucial for diagnostic accuracy.

Findings:

  • CTPA can identify pulmonary embolism and other vascular complications missed by standard CT.
  • Enhanced visualization of lung vasculature aids in understanding disease severity.
  • Early detection of thromboembolic events can guide timely treatment.

Implications:

  • CTPA may improve diagnostic yield in critically ill COVID-19 patients.
  • Consideration of CTPA could lead to earlier and more targeted therapeutic interventions.
  • This approach may enhance patient outcomes by optimizing management strategies.
Abstract

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