Luiz Felipe Nobre, Sérgio Ferreira Alves Júnior, Elazir Barbosa Di Puglia, Rosana Rodrigues, Gláucia Zanetti, Edson Marchiori
{"title":"COVID-19血管不规则：计算机断层肺血管造影的发现。","authors":"Luiz Felipe Nobre, Sérgio Ferreira Alves Júnior, Elazir Barbosa Di Puglia, Rosana Rodrigues, Gláucia Zanetti, Edson Marchiori","doi":"10.1590/0100-3984.2024.0054-en","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to evaluate the characteristics and meaning of the vessel wall irregularities sign, observed on computed tomography angiography of the pulmonary arteries of patients with coronavirus disease 2019 (COVID-19) pneumonia.</p><p><strong>Materials and methods: </strong>This retrospective study of the computed tomography pulmonary angiography findings of 65 patients diagnosed with COVID-19 included 27 women and 38 men, with a median age of 52 years (range, 20-86 years). The diagnosis of COVID-19 was established through reverse transcription-polymerase chain reaction for infection with severe acute respiratory syndrome coronavirus 2.</p><p><strong>Results: </strong>The vessel wall irregularities sign was observed in 50 (76.9%) of the 65 patients with COVID-19. Among those 50 patients, the vascular involvement was predominantly mixed (arterial and venous) in 43 (86%), subsegmental in all 50 (100%), segmental in 13 (26%), bilateral in 46 (92%), affecting 4-5 lobes in 35 (70%), mainly in the right lower lobe in 46 (92%), and mainly in the left lower lobe in 44 (88%).</p><p><strong>Conclusion: </strong>The vessel wall irregularities is a prevalent sign of vascular involvement in patients with COVID-19.</p>","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":"57 ","pages":"e20240054"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616031/pdf/","citationCount":"0","resultStr":"{\"title\":\"Vascular irregularities in COVID-19: findings on computed tomography pulmonary angiography.\",\"authors\":\"Luiz Felipe Nobre, Sérgio Ferreira Alves Júnior, Elazir Barbosa Di Puglia, Rosana Rodrigues, Gláucia Zanetti, Edson Marchiori\",\"doi\":\"10.1590/0100-3984.2024.0054-en\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The purpose of this study was to evaluate the characteristics and meaning of the vessel wall irregularities sign, observed on computed tomography angiography of the pulmonary arteries of patients with coronavirus disease 2019 (COVID-19) pneumonia.</p><p><strong>Materials and methods: </strong>This retrospective study of the computed tomography pulmonary angiography findings of 65 patients diagnosed with COVID-19 included 27 women and 38 men, with a median age of 52 years (range, 20-86 years). The diagnosis of COVID-19 was established through reverse transcription-polymerase chain reaction for infection with severe acute respiratory syndrome coronavirus 2.</p><p><strong>Results: </strong>The vessel wall irregularities sign was observed in 50 (76.9%) of the 65 patients with COVID-19. Among those 50 patients, the vascular involvement was predominantly mixed (arterial and venous) in 43 (86%), subsegmental in all 50 (100%), segmental in 13 (26%), bilateral in 46 (92%), affecting 4-5 lobes in 35 (70%), mainly in the right lower lobe in 46 (92%), and mainly in the left lower lobe in 44 (88%).</p><p><strong>Conclusion: </strong>The vessel wall irregularities is a prevalent sign of vascular involvement in patients with COVID-19.</p>\",\"PeriodicalId\":20842,\"journal\":{\"name\":\"Radiologia Brasileira\",\"volume\":\"57 \",\"pages\":\"e20240054\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616031/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Radiologia Brasileira\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/0100-3984.2024.0054-en\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiologia Brasileira","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/0100-3984.2024.0054-en","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Vascular irregularities in COVID-19: findings on computed tomography pulmonary angiography.
Objective: The purpose of this study was to evaluate the characteristics and meaning of the vessel wall irregularities sign, observed on computed tomography angiography of the pulmonary arteries of patients with coronavirus disease 2019 (COVID-19) pneumonia.
Materials and methods: This retrospective study of the computed tomography pulmonary angiography findings of 65 patients diagnosed with COVID-19 included 27 women and 38 men, with a median age of 52 years (range, 20-86 years). The diagnosis of COVID-19 was established through reverse transcription-polymerase chain reaction for infection with severe acute respiratory syndrome coronavirus 2.
Results: The vessel wall irregularities sign was observed in 50 (76.9%) of the 65 patients with COVID-19. Among those 50 patients, the vascular involvement was predominantly mixed (arterial and venous) in 43 (86%), subsegmental in all 50 (100%), segmental in 13 (26%), bilateral in 46 (92%), affecting 4-5 lobes in 35 (70%), mainly in the right lower lobe in 46 (92%), and mainly in the left lower lobe in 44 (88%).
Conclusion: The vessel wall irregularities is a prevalent sign of vascular involvement in patients with COVID-19.
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