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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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VASCULAR EMBOLOTHERAPY-HOW MUCH HAS BEEN ACHIEVED?

C Mohan1, J D'Souza2, G S Sabhiki3

  • 1Classified Specialist (Radiodiagnosis) and Vascular Radiologist, 92 BH C/o 56 APO, Military Hospital (CTC), Pune-40.

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|August 10, 2017
PubMed
Summary
This summary is machine-generated.

Vascular embolotherapy effectively controlled life-threatening hemorrhage in 82.2% of patients and reduced blood loss during surgery. This study confirms embolotherapy

Keywords:
EmbolizationEmbolotherapyHaemorrhage

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Area of Science:

  • Interventional Radiology
  • Vascular Surgery
  • Oncology

Background:

  • Embolotherapy is a minimally invasive procedure used to control bleeding.
  • Systemic arterial embolization is employed for various indications, including hemorrhage and preoperative management.
  • Assessing the efficacy and safety of embolotherapy is crucial for clinical decision-making.

Purpose of the Study:

  • To evaluate the efficacy and safety of vascular embolotherapy.
  • To assess the reliability of embolotherapy in controlling life-threatening hemorrhage.
  • To determine the effectiveness of preoperative embolotherapy in reducing blood loss.

Main Methods:

  • Retrospective analysis of 64 patients undergoing emergency and elective embolotherapy.
  • Procedures included embolization of systemic arteries for indications such as hemoptysis, preoperative management, hematuria, epistaxis, and chemoembolization.
  • Materials used included gelfoam pellets, absolute alcohol, polyvinyl alcohol particles (PVA), steel coils, and Adriamycin-in-oil emulsion.

Main Results:

  • Complete hemostasis was achieved in 82.2% of hemorrhage cases (37/45).
  • Significant improvement was observed in 17.8% of hemorrhage cases (8/45).
  • Complete hemostasis was achieved in all hematuria and epistaxis cases. Preoperative embolotherapy reduced operative blood loss. Chemoembolization led to partial tumor regression.

Conclusions:

  • Vascular embolotherapy is an effective and reliable treatment for life-threatening hemorrhage.
  • Preoperative embolotherapy significantly reduces peroperative blood loss.
  • Embolotherapy demonstrates efficacy in diverse clinical scenarios, including oncologic interventions.