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. 2022 Sep 5:9:930968.
doi: 10.3389/fsurg.2022.930968. eCollection 2022.

Pulmonary embolism following urological non-oncological surgery: The clinical features, management, and long-term follow-up outcome from a tertiary hospital of China

Ziqiang Wu  1 , Xuesong Liu  2 , Quan Zhu  1 , Haozhen Li  1 , Kaixuan Li  1 , Guilin Wang  1 , Zhengyan Tang  1   3   4 , Zhao Wang  1   4
Affiliations

Pulmonary embolism following urological non-oncological surgery: The clinical features, management, and long-term follow-up outcome from a tertiary hospital of China

Ziqiang Wu et al. Front Surg. .

Abstract

Objective: To evaluate the clinical features, treatment, and outcomes of pulmonary embolism (PE) after urological non-oncological surgery in a tertiary hospital of China.

Methods: A total of eight patients who suffered from PE after urological non-oncological surgery from 2016 to 2019 were recruited to the study. Clinical data such as symptoms, vital signs, electrocardiogram, echocardiography, and computed tomographic pulmonary arteriography (CTPA) were reviewed. In addition, the management and long-term follow-up outcome of PE were reported. Pulmonary Embolism Quality of Life (PEmb-QoL) questionnaire was applied for five patients to evaluate health-related quality of life after PE.

Results: All patients survived during their hospitalization, and five patients were contacted during follow-up. Five of the eight patients were anticoagulated regularly until the re-examination results of CTPA and lower extremities ultrasound were normal. The period of anticoagulant sustained at least one month for each patient. The long-term follow-up outcomes showed that PE had little impact on the patients' quality of life.

Conclusions: The study demonstrated that the prognosis of PE patients was not as terrible as feared when treated immediately in the ward. Early diagnosis and treatment of PE is vital for prognosis. However, further verifications based on the results of large studies are still needed.

Keywords: non-oncological inpatients; prognosis; pulmonary embolism (PE); treatment; urology.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Representative computed tomographic pulmonary arteriography (CTPA) images of pulmonary embolism (PE). (A) CTPA shows filling defects in the right upper pulmonary artery (red arrow). (B) CTPA shows filling defects in the left upper pulmonary artery (red arrow). (C) CTPA shows filling defects in the right upper pulmonary artery, right middle pulmonary artery, and right lower pulmonary artery (red arrow). (D) CTPA shows filling defects in the right upper pulmonary artery (red arrow).
Figure 2
Figure 2
Comparison of computed tomographic pulmonary arteriography (CTPA) images before and after treatment in a pulmonary embolism (PE) patient. (A,B) CTPA shows filling defects in the left upper pulmonary artery and right upper pulmonary artery (red arrow). (C,D), CTPA shows that filling defects in the left upper pulmonary artery and right upper pulmonary artery have disappeared after administering anticoagulants for one month (red arrow).
See this image and copyright information in PMC

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