CHARACTERISTICS OF EMERGENCY MULTISLICE COMPUTED TOMOGRAPHY ANGIOPULMONOGRAPHY
https://doi.org/10.20862/0042-4676-2017-98-6-315-319
Abstract
The paper gives the results of emergency contrast-enhanced multislice computed tomography (MSCT) (MSCT angiopulmonography) as a stage of preoperative preparation in 4 pregnant women in order to confirm fatal thromboembolism. Thromboembolectomy of the pulmonary artery branches were done as clinically indicated in all the women on the day of admission. The time from hospital admission to surgery was less than 1 hour (mean, 40 minutes). Good angiographic and clinical results were achieved in all cases. Two women (50%) delivered a baby simultaneously with thrombectomy; two women (50%) delivered 5 weeks and 9 weeks (mean, 7 weeks) after a cardiac surgical procedure. All the babies had an Apgar score of 7–9.
MSCT angiopulmonoraphy is a reliable non-invasive examination in patients, including pregnant women with suspected or verified pulmonary embolism. Low-dose MSCT-angiopulmonography protocols and use of dual volume contrast media injectors can minimize testing time, radiation load, and injected contrast agent volume in order to obtain qualitatively adequate MSCT data for the choice of further patient management tactics, by lowering iatrogenic effects on the fetus.
About the Author
M. B. Sukhovа
Specialized Cardiosurgical Clinical Hospital
Russian Federation
Russian Federation
Marina B. Sukhova - MD, PhD, Radiologist.
Ul. Vaneeva, 209, Nizhniy Novgorod, 603950References
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Review
For citations:
Sukhovа M.B. CHARACTERISTICS OF EMERGENCY MULTISLICE COMPUTED TOMOGRAPHY ANGIOPULMONOGRAPHY. Journal of radiology and nuclear medicine. 2017;98(6):315-319. (In Russ.) https://doi.org/10.20862/0042-4676-2017-98-6-315-319
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