Email this article Role of computed angiopulmonography in current diagnosis of pulmonary artery thromboembolism
- Authors: Sinitsyn VE1, Gagarina NV1, Veselova TN1, Ternovoi SK1
-
Affiliations:
- Российский кардиологический научно-производственный комплекс Минздрава РФ
- Issue: Vol 78, No 4 (2003)
- Pages: 25-29
- Section: Editorial
- URL: https://journal-vniispk.ru/0040-3660/article/view/29337
- ID: 29337
Cite item
Full Text
Abstract
Aim. To study potentialities of tomographic methods in diagnosis of pulmonary artery thromboembolism (PATE).
Material and methods. Electron-beam tomography (EBT) was used for diagnosis in 34 patients (mean age 41.3 ± 16.5 years) suspected of PATE (Imatron C-150 unit, USA). The procedure included standard examination of the lungs and EBT angiopulmonography in intravenous introduction of the contrast agent (80-100 ml, the rate 3-3.5 ml/s).
Results. The pulmonary artery was found to contain thrombi in 56% patients. 18% of PATE patients had pulmonary infarction. A complete coincidence of EBT and scintigraphy was registered in 31% cases, no PATE by both methods was in 19% cases. Angiopulmonography and EBT findings were the same. In 1 case the result of pulmonary scintigraphy was false negative. 24% patients showed symptoms of thrombophlebitis or varicosity of the lower limbs. EBT has detected signs of PATE in 83% of them.
Conclusion. EBT-angiopulmonography is a precise, highly informative поп-invasive method in diagnosis of PATE.
Material and methods. Electron-beam tomography (EBT) was used for diagnosis in 34 patients (mean age 41.3 ± 16.5 years) suspected of PATE (Imatron C-150 unit, USA). The procedure included standard examination of the lungs and EBT angiopulmonography in intravenous introduction of the contrast agent (80-100 ml, the rate 3-3.5 ml/s).
Results. The pulmonary artery was found to contain thrombi in 56% patients. 18% of PATE patients had pulmonary infarction. A complete coincidence of EBT and scintigraphy was registered in 31% cases, no PATE by both methods was in 19% cases. Angiopulmonography and EBT findings were the same. In 1 case the result of pulmonary scintigraphy was false negative. 24% patients showed symptoms of thrombophlebitis or varicosity of the lower limbs. EBT has detected signs of PATE in 83% of them.
Conclusion. EBT-angiopulmonography is a precise, highly informative поп-invasive method in diagnosis of PATE.
About the authors
V E Sinitsyn
Российский кардиологический научно-производственный комплекс Минздрава РФМосква; Российский кардиологический научно-производственный комплекс Минздрава РФ
N V Gagarina
Российский кардиологический научно-производственный комплекс Минздрава РФМосква; Российский кардиологический научно-производственный комплекс Минздрава РФ
T N Veselova
Российский кардиологический научно-производственный комплекс Минздрава РФМосква; Российский кардиологический научно-производственный комплекс Минздрава РФ
S K Ternovoi
Российский кардиологический научно-производственный комплекс Минздрава РФМосква; Российский кардиологический научно-производственный комплекс Минздрава РФ
References
- Arcasoy S. M., Kreit J. W. Thrombolytic therapy of pulmonary embolism: a comprehensive review of current evidence. Chest 1999; 115: 1695-1707.
- Савельев В. С., Кириенко А. И., Матюшеико А. А. и др. Тромбоэмболия легочных артерий. В кн.: Савельев В. С. (ред.) Флебология: Руководство для врачей. М.: Медицина; 2001. 279-319.
- Овчинников А. В. Послеоперационная тромбоэмболия легочных артерий. Врач 2002: 2: 16-21.
- Wallis J. W., van Beek E. J., Reekers J. A. Reserve concerning pulmonary angiography in pulmonary embolism is not justified. Ned. Tijdschr. Geneesk. 1997; 141: 578-581.
- Bergin C. J., Hauschildt J. P., Brown M. A. et al. Identifying the cause of unilateral hypoperfusion in patients suspected to have chronic pulmonary thromboembolism: diagnostic accuracy of helical CT and conventional angiography. Radiology 1999; 21:743-749.
- Mallin W. H., Silberstein E. В., Shipley R. T. et al. Fibrosing mediastinitis causing nonvisualization of one lung on pulmonary scintigraphy. Clin. Nucl. Med. 1993; 8: 594-596.
- Rerny-Jardin M., Remy J., Wattinne L., Giraud F. Central pulmonary thromboembolism: diagnosis with spiral volumetric CT with singlebreathold technique: comparison with pulmonary angiography. Radiology 1992; 185: 381-387.
- Goodman L. R., Curtin J. J., Mewissen M. V. Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis: helical CT versus angiography. Am. J. Roentgenol. 1995; 164: 1369-1374.
- Remy-Jardin M., Remy J., Deschildre F. Diagnosis of acute pulmonary embolism with pulmonary angiography and scintigraphy. Radiology 1996; 200: 699-706.
- Ciccotosto C., Goodman L. R., Washington L., Quiroz F. A. Indirect CT-venography following CT pulmonary angiography: spectrum of CT findings. J. Thorac. Imag. 2002; 17: 18-27.
- Teigen S. L., Maus T. P. Pulmonary embolism. Diagnosis with contrast-enhanced electron-beam CT and comparison with CT pulmonary angiography. Radiology 1995; 194: 313.
- Schoepf U. J., Holzknecht A., Helmberger T. et al. Subsegmental pulmonary emboli: improved detection with thin-collimation multidetector row CT. Ibid. 2002; 222: 483-490.
- Gefter W. В., Hatabu H., Dinsmore B. J. Pulmonary vascular cine MR imaging: a noninvasive approach to dynamic imaging of the pulmonary circulation. Ibid. 1990; 176: 761-770.
- Meaney J. F. M., Weg J. G., Chenevert T. L. et al. Diagnosis of pulmonary embolism in patients with MR angiography. N. Engl. J. Med. 1997; 336: 1422-1427.
- Gupta A., Eraser C. K., Ferguson J. M. et al. Acute pulmonary embolism: diagnosis with MR angiography. Radiology 1999; 210: 353-
- Oser R. F., Zuckerman D. A., Gutierres F. R., Brink J. A. Anatomic distribution of pulmonary emboli at pulmonary angiography: implication for cross-sectional imaging. Ibid. 1996; 199: 31-35.
Supplementary files
