[Role of computed angiopulmonography in current diagnosis of pulmonary artery thromboembolism].
OBJECTIVE
To study potentialities of tomographic methods in diagnosis of pulmonary artery thromboembolism (PATE).


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.


CONCLUSIONS
EBT-angiopulmonography is a precise, highly informative non-invasive method in diagnosis of PATE.
Sinitsyn
V E
VE
Gagarina
N V
NV
Veselova
T N
TN
Ternovoĭ
S K
SK
D000293:Adolescent; D000328:Adult; D000368:Aged; D000792:Angiography / Q000379:methods*; D003287:Contrast Media; D005188:False Negative Reactions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media