ROLE OF MULTIDETECTOR COMPUTED TOMOGRAPHIC PULMONARY ANGIOGRAPHY IN THE PROGNOSTIC EVALUATION OF PULMONARY THROMBOEMBOLISM.

DR. MASHOO NEIL

Volume : V, Issue : VI, June - 2016

ROLE OF MULTIDETECTOR COMPUTED TOMOGRAPHIC PULMONARY ANGIOGRAPHY IN THE PROGNOSTIC EVALUATION OF PULMONARY THROMBOEMBOLISM.

Dr. Mashoo Neil

Abstract :

 MDCT Pulmonary angiography and CT venography in combination can be considered as first line diagnostic tool for the evaluation of patients with PTE because of direct visualisation of thrombus, non invasiveness, less time consuming, wide availability, rules out other chest pathologies , comfortable for immobile patients. 35 patients with clinical suspicion of PTE ,were imaged using specific time protocol for CTPA and CTV. Most common risk factor for pulmonary embolism was immobilisation followed by recent history of surgery. Most patients presented with shortness of eath. Most common ancillary findings were pulmonary effusion followed by pulmonary infarct. CT venographies were positive in 25 patients (72%). MPA diameter, PE Index, cardiovascular parameters were important parameters in prognostic outcome of the patients.