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Pulmonary embolism after cerebral angiography--three case reports
Y Kurokawa1, S Abiko, T Okamura
1Department of Neurosurgery, Ube Industries Central Hospital, Yamaguchi.
Neurologia Medico-Chirurgica
|May 1, 1995
Summary
Acute pulmonary embolism can occur after cerebral angiography. Prompt diagnosis and prophylaxis are crucial for managing this risk, though severe cases may be fatal despite treatment.
Area of Science:
- Cardiology
- Neurology
- Radiology
Background:
- Cerebral angiography is a common diagnostic procedure.
- Pulmonary embolism (PE) is a potential complication.
- Early recognition and intervention are key.
Observation:
- Three patients developed acute pulmonary embolism post-cerebral angiography.
- Diagnostic methods included clinical assessment, echocardiography, chest roentgenography, blood gas analysis, and technetium-99m-labeled albumin macroaggregates pulmonary perfusion scans.
- Two patients improved with treatment, but one died from severe embolization and circulatory collapse.
Findings:
- Acute pulmonary embolism is a recognized risk following cerebral angiography.
- While anticoagulation therapy can be used, it may not prevent mortality in severe cases.
- Diagnostic imaging and clinical evaluation are essential for timely diagnosis.
Implications:
- Increased awareness of this complication is necessary for healthcare professionals.
- Prophylactic measures should be considered to mitigate the risk of PE after cerebral angiography.
- Further research into preventative strategies may improve patient outcomes.