Pulmonary angiography: a safe procedure with modern contrast media and technique

European Radiology
T NilssonK Mâre

Abstract

Pulmonary angiography (PA) for decades has been accepted as the gold standard for the diagnosis of pulmonary embolism (PE). Apprehensions that the procedure is expensive, invasive and thus associated with both fatal and non-fatal complications has more or less limited its use to patients presenting a non-diagnostic lung scan. However, this opinion originates from earlier studies. Increasing clinical demands for faster and safer diagnostics, together with improved techniques and safer contrast media, has led to an increased use of PA. In order to evaluate the complication rate, we retrospectively studied the case records of 707 consecutive patients who had undergone PA. During 1990-1994, 728 patients underwent PA at Danderyd and Huddinge University Hospital. Selective pulmonary angiography (cine or digital subtraction angiography), non-ionic, low-osmolar contrast media and modern pigtail catheters were used. Standard volumes were 40 ml at 2 s for each injection. Pressure measurements were made in 376 patients. A test injection was made in all patients in order to assess the flow rate. Experienced radiologists as well as residents performed the examinations and a total of 707 angiography protocols and clinical records were availa...Continue Reading

Citations

Sep 5, 2002·The American Journal of Cardiology·Marcin KurzynaLiliana Wawrzyńska
Oct 8, 1999·Current Problems in Diagnostic Radiology·M B GotwayW R Webb
Sep 26, 2003·The New England Journal of Medicine·Peter F Fedullo, Victor F Tapson
Jun 12, 2004·Clinical Nuclear Medicine·Alan SiegelWilliam C Black
Jul 30, 2005·BMJ : British Medical Journal·Pierre-Marie RoyGuy Meyer
Nov 15, 2003·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Daehee HanHong Sik Byun
May 24, 2003·The British Journal of Radiology·S K Morcos
Feb 28, 2006·Radiologic Clinics of North America·Paul G Kluetz, Charles S White
Sep 2, 2008·Journal of Evaluation in Clinical Practice·Mårten SöderbergGerd Lärfars
Jan 31, 2002·Annual Review of Medicine·Agnes Y Y Lee, Jack Hirsh
Apr 11, 2008·International Journal of Palliative Nursing·Simon Noble
Jul 9, 2009·British Journal of Hospital Medicine·Simon Noble, Debbie A Jenkins
May 31, 2017·Critical Care Nursing Quarterly·Sulaiman AlhassanMarvin Balaan

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