Dependent layering of venous refluxed contrast: A sign of critically low cardiac output

Mortality associated with cardiogenic shock can reach 80%. Although most often diagnosed clinically, the hemodynamics of cardiogenic shock may manifest on contrast-enhanced computed tomography as dependent layering of contrast within the inferior vena cava (IVC), a finding referred to as the “IVC le...

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Autores principales: Sullivan, Ian W., Hota, Partha, Dako, Farouk, Hajdinaj, Shqiponja, Davila, Blachy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Cardiac
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250913/
https://www.ncbi.nlm.nih.gov/pubmed/30479677
http://dx.doi.org/10.1016/j.radcr.2018.10.021
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author Sullivan, Ian W.
Hota, Partha
Dako, Farouk
Hajdinaj, Shqiponja
Davila, Blachy
author_facet Sullivan, Ian W.
Hota, Partha
Dako, Farouk
Hajdinaj, Shqiponja
Davila, Blachy
author_sort Sullivan, Ian W.
collection PubMed
description Mortality associated with cardiogenic shock can reach 80%. Although most often diagnosed clinically, the hemodynamics of cardiogenic shock may manifest on contrast-enhanced computed tomography as dependent layering of contrast within the inferior vena cava (IVC), a finding referred to as the “IVC level sign.” Herein we present 2 cases of the IVC level sign. Swift recognition of the IVC level sign and awareness of its dire prognostic implications is essential for achieving the best patient outcomes.
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spelling pubmed-62509132018-11-26 Dependent layering of venous refluxed contrast: A sign of critically low cardiac output Sullivan, Ian W. Hota, Partha Dako, Farouk Hajdinaj, Shqiponja Davila, Blachy Radiol Case Rep Cardiac Mortality associated with cardiogenic shock can reach 80%. Although most often diagnosed clinically, the hemodynamics of cardiogenic shock may manifest on contrast-enhanced computed tomography as dependent layering of contrast within the inferior vena cava (IVC), a finding referred to as the “IVC level sign.” Herein we present 2 cases of the IVC level sign. Swift recognition of the IVC level sign and awareness of its dire prognostic implications is essential for achieving the best patient outcomes. Elsevier 2018-11-15 /pmc/articles/PMC6250913/ /pubmed/30479677 http://dx.doi.org/10.1016/j.radcr.2018.10.021 Text en © 2018 Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Cardiac
Sullivan, Ian W.
Hota, Partha
Dako, Farouk
Hajdinaj, Shqiponja
Davila, Blachy
Dependent layering of venous refluxed contrast: A sign of critically low cardiac output
title Dependent layering of venous refluxed contrast: A sign of critically low cardiac output
title_full Dependent layering of venous refluxed contrast: A sign of critically low cardiac output
title_fullStr Dependent layering of venous refluxed contrast: A sign of critically low cardiac output
title_full_unstemmed Dependent layering of venous refluxed contrast: A sign of critically low cardiac output
title_short Dependent layering of venous refluxed contrast: A sign of critically low cardiac output
title_sort dependent layering of venous refluxed contrast: a sign of critically low cardiac output
topic Cardiac
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250913/
https://www.ncbi.nlm.nih.gov/pubmed/30479677
http://dx.doi.org/10.1016/j.radcr.2018.10.021
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