Using End-Tidal CO₂ to Help Diagnose and Monitor Pulmonary Embolism
NCT07241130 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 120
Last updated 2025-12-22
Summary
Pulmonary embolism (PE) can reduce blood flow in the lungs and impair gas exchange, leading to lower end-tidal carbon dioxide (EtCO₂) levels. This prospective observational study aims to evaluate whether EtCO₂ can help identify high-risk and intermediate-high-risk patients and monitor early treatment response, especially during thrombolytic therapy. A total of 120 participants were included: high-risk PE, intermediate-high-risk PE patients who received thrombolysis, intermediate-high-risk PE patients treated only with anticoagulation, and healthy controls.
The study measured EtCO₂ along with oxygen saturation, heart rate, respiratory rate, perfusion index, and radiological obstruction scores. By comparing these parameters at diagnosis and during the first 24 hours, the study seeks to determine whether EtCO₂ can serve as a simple, noninvasive marker of disease severity and early hemodynamic improvement in patients with acute PE.
Conditions
- Pulmonary Embolism Acute
Interventions
- OTHER
-
thrombolytic therapy
Participants received standard clinical management according to current pulmonary embolism guidelines. No intervention was assigned by the investigators.
Sponsors & Collaborators
-
Ataturk University
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-02-01
- Primary Completion
- 2025-07-30
- Completion
- 2025-07-30
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
Non-invasive Diagnosis of Pulmonary Embolism by Use of Biomarkers in Exhaled Breath Condensate
NCT04010760 ·Status: COMPLETED
-
Catheter-Directed Pulmonary Reperfusion in Treatment of Pulmonary Embolism Patients
NCT04911192 ·Status: UNKNOWN ·Phase: NA
-
Changes of Cardiopulmonary Function After Thrombolysis in Patients With Pulmonary Embolism
NCT04757129 ·Status: RECRUITING
-
Mechanical Respiratory/circulatory Support in Patients with Pulmonary Thrombectomy
NCT06525480 ·Status: COMPLETED
-
Standard vs. Ultrasound-assisted Catheter Thrombolysis for Submassive Pulmonary Embolism
NCT02758574 ·Status: COMPLETED ·Phase: NA
-
Adrenomedullin in Context With Pulmonary Embolism
NCT04875130 ·Status: COMPLETED
-
Reduced Dose Thrombolytic in Intermediate/High Risk Pulmonary Thromboembolism
NCT05512702 ·Status: UNKNOWN
-
TEG Anticoagulation Monitoring During ECMO
NCT02271126 ·Status: COMPLETED ·Phase: PHASE1
-
Optimum Duration of Acoustic Pulse Thrombolysis Procedure in Acute Pulmonary Embolism
NCT02396758 ·Status: COMPLETED ·Phase: PHASE4
-
Percutaneous Embolectomy, Low Dose Thrombolysis or Heparin for Intermediate High Risk Pulmonary Embolism (STRATIFY II)
NCT06453876 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Catheter-directed Thrombectomy in High and Intermediate-high Risk Pulmonary Embolism
NCT04473560 ·Status: UNKNOWN
-
Surgery in Pulmonary Embolisms
NCT06070129 ·Status: NOT_YET_RECRUITING
-
Prognostic Tools in Patients With Acute Pulmonary Thromboembolism.
NCT04237974 ·Status: UNKNOWN
-
Selective Pulmonary-artery Intervention to Reduce Acute Right-heart tEnsion-II
NCT06576427 ·Status: COMPLETED ·Phase: NA
-
Hydro-mechanical Defragmentation of Pulmonary Embolism
NCT04099186 ·Status: COMPLETED ·Phase: NA
-
A Prospective Study for the Treatment of Severe Pulmonary Embolism With Pharmacodynamic Thrombectomy
NCT04318782 ·Status: UNKNOWN ·Phase: NA
-
Prognostication in Acute Pulmonary Embolism
NCT02733198 ·Status: COMPLETED ·Phase: NA
-
Surgical Pulmonary Embolectomy Versus Catheter-directed Thrombolysis in the Treatment of Pulmonary Embolism: A Non-inferiority Study
NCT03218410 ·Status: COMPLETED ·Phase: NA
-
Aventus Thrombectomy System Pulmonary Embolism Clinical Study
NCT05907564 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Cohort Study on Treatment Comes of Catheter-based Therapy in Patients With Acute Pulmonary Embolism in Hong Kong
NCT07029841 ·Status: RECRUITING
-
Validation of Different Risk Assessment Strategies in Normotensive Pulmonary Embolism
NCT02843243 ·Status: TERMINATED
-
Ultrasound-assisted, Catheter-directed Thrombolysis for Acute Intermediate-high-risk Pulmonary Embolism
NCT06143969 ·Status: RECRUITING
-
Artificial Intelligence to StrategiCally Enhance Pulmonary Embolism Response Team Activation
NCT06246045 ·Status: WITHDRAWN ·Phase: NA
-
Treatment of Low-Risk Submassive Pulmonary Embolism With FlowTriever
NCT05273762 ·Status: RECRUITING ·Phase: NA
-
Risk Assessment Strategies in Pulmonary Embolism
NCT04327960 ·Status: UNKNOWN