CECT in Pulmonary Thrombolism

Bhoite Amol,Gautama Amol,Ragi Skanda,Shaha Pramod,Tamboli Asif

doi:10.9734/jpri/2021/v33i53b33709

Abstract

Introduction: Pulmonary embolism (PE) is the third most common acute heart disease after myocardial infarction and stroke and is a major public health problem. PE is a disease that has high morbidity and mortality, yet it is challenging to obtain a diagnosis. Objective: The study aims to assess the role of MDCT-PA in the diagnosis of pulmonary embolism, and it's associated conditions in suspected cases of pulmonary embolism. Materials and Methods: The study was conducted in the department of radiology in KRISHNA INSTITUTE OF MEDICAL SCIENCES DEEMED TO BE UNIVERSITY situated in KARAD equipped with a 16 slice MDCT scanner (EMOTION) manufactured by Siemens. Results: Through the study period of one and half year and have met the inclusion criteria, a total of 90 consecutive patients who presented with suspicion of PE were referred for MDCT-PA in the department of radio-diagnosis, Krishna Hospital, Karad. A review of all the cases was done, and the results were presented in the form of tables. Conclusion: Multidetector computed tomography pulmonary angiography can be used to confidently diagnose pulmonary embolism in which it is not contraindicated. MDCT-PA is the investigation of choice because it is a rapid, non-invasive study, highly sensitive and specific.

Highlights

Pulmonary embolism (PE) is the third most common acute heart disease after myocardial infarction and stroke and is a major public health problem
Alternative diagnoses, involving the lung parenchyma disease, isolated pulmonary arterial hypertension, pleural effusion, malignancy, hiatus hernia, are present in the most patients undergoing CTPA for the detection of pulmonary embolism [7,8]. In this cross-sectional study, we evaluated the percentage prevalence of pulmonary embolism in patients referred to our department with clinical suspicion of having a pulmonary embolism and early diagnosis of the presence of embolus was done, which helped a treating clinician for the accurate early management, reducing the mortality and morbidity due to pulmonary thromboembolism [9,10]
Fifty-two male patients were referred for MDCT-PA with clinical suspicion of pulmonary embolism, of which 28 were positive (53.8%)

Summary

Introduction

Pulmonary embolism (PE) is the third most common acute heart disease after myocardial infarction and stroke and is a major public health problem. Alternative diagnoses, involving the lung parenchyma disease (pneumonia and interstitial lung disease), isolated pulmonary arterial hypertension, pleural effusion, malignancy, hiatus hernia, are present in the most patients undergoing CTPA for the detection of pulmonary embolism [7,8]. In this cross-sectional study, we evaluated the percentage prevalence of pulmonary embolism in patients referred to our department with clinical suspicion of having a pulmonary embolism and early diagnosis of the presence of embolus was done, which helped a treating clinician for the accurate early management, reducing the mortality and morbidity due to pulmonary thromboembolism [9,10]

Results

Discussion

Conclusion