Pulmonary Embolism Index of Wu et al Using CT Pulmonary Angiography (CTPE Index)

Purpose: To evaluate a patient with pulmonary embolic disease using the CTPE index of Wu et al based on helical CT angiography of the segmental arteries.

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Evaluation

Are you evaluating a patient with a pulmonary embolus using helical CT angiography of the segmental arteries?

Yes

Embolic occlusion of each segmental artery in the right lung

Right superior lobe, apical

Right superior lobe, posterior

Right superior lobe, anterior

Right middle lobe, lateral

Right middle lobe, medial

Right lower lobe, superior (apical)

Right lower lobe, medial basal

Right lower lobe, anterior basal

Right lower lobe, lateral basal

Right lower lobe, posterior basal

Embolic occlusion of each segmental artery in the left lung

Left superior lobe, apical

Left superior lobe, posterior

Left superior lobe, anterior

Left lingula, superior

Left lingula, inferior

Left lower lobe, superior (apical)

Left lower lobe, medial basal

Left lower lobe, anterior basal

Left lower lobe, lateral basal

Left lower lobe, posterior basal

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score for the right lung

Total score for the left lung

Total CTPE index

The risk of mortality is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- YEARS Algorithm for Suspected Pulmonary Embolism in ED
Laboratory Tests
- Prediction of Clinical Outcome After Pulmonary Embolism Using Pro-Brain Natriuretic Peptide (preBNP) and Troponin T Concentrations
- Risk Models of Binder et al for Acute Pulmonary Embolism Based on Echocardiography, NT-proBNP and Troponin T
Other Testing
- PERC Rule - Pulmonary Embolism Rule-Out Criteria (Charlotte Criteria)
Criteria For Diagnosis
- The Clinical Score of Wicki et al for Determining the Probability of a Pulmonary Embolus in the Emergency Department (Geneva Score)
- PERC Rule - Pulmonary Embolism Rule-Out Criteria (Charlotte Criteria)
Severity, Prognosis, Stage
Complications

Therapy

Selection
- Pulmonary Embolism Severity Index (PESI) of Aujesky et al
Surgery
- Pulmonary Embolism with Orthopedic Cement Following Surgery

Monitoring

Adverse Effects
- Pulmonary Embolism with Orthopedic Cement Following Surgery

Specialty

Pulmonology

Objective

severity
prognosis
stage

ICD-10

I26 - Pulmonary embolism

Info

Purpose: To evaluate a patient with pulmonary embolic disease using the CTPE index of Wu et al based on helical CT angiography of the segmental arteries.

Specialty: Pulmonology

Objective: severity, prognosis, stage

ICD-10: I26,

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