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[CT Scan Angiography In The Pulmonary Embolism's Diagosis At Radiology And Nuclear Medicine Department In Hôpital Du
M Traoré1, M Konaté1, F M Sidibé2
1service de radiologie et médicine nucléaire CHU du Point « G ».
Objective:
The aim of this study was to precise the role of thoracic CT angiography in the diagnosis of pulmonary embolism in our practice.
Patients And Methods:
We conduct a prospective eight (8) month study in the radiology department of the Teaching Hospital of Point "G" Seventy seven patients suspected of pulmonary embolism were included. A thoracic CT angiography was performed in emergency after chest X ray for each patient. Pulmonary embolisms were classified according to the Qanadli index.
Results:
The average age of our patients was 52 years old (23 - 85 years). The age group 55-64 was predominant. The clinical probability was low, medium and high respectively in 8,9%, 28,9% and 62,33%. Chest X ray was suspect of embolism in 92,2% (71/77%), thoracic CT angiography was positive in 58,44% (45/77). Embolism was located in a lobar pulmonary artery in 57,78% and the right side was the most concerned. Among the cardiopulmonary consequences, dilatation of the trunk of the pulmonary artery predominated in 42,22% of cases. According to Qanadli index, the severity of pulmonary embolism was moderate (53;33%), severe (35,56%), and massive (11,11%).
Conclusion:
CT angiography is in our practice, the best choice in the diagnosis of pulmonary embolism. It allows to confirm the diagnosis, and to precise the topography of pulmonary embolism. In addition, this examination makes it possible the severity specification of the affection.
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