Abstract:Twenty-five patients with the clinical suspicion of pulmonary thromboembolism underwent venous digital subtraction angiography (DSA) concurrently with selective conventional pulmonary angiography and the results were compared by two independent observers. Our conclusion is that venous DSA lacks adequate specificity and sensitivity for the diagnosis of pulmonary thromboembolism in subsegmental pulmonary arteries. Any benefit derived from this slightly less invasive technique is far outweighed by the decrease in… Show more
“…The diagnostic efficiency of digital pulmonary angiography compared with conventional angiography has been investigated previously (6,8,14,15). Diagnostic studies were obtained in 90 to 98 per cent of the cases, and the overall accuracy of the digital method compared with the conventional has been over 90 per cent.…”
Section: Discussionmentioning
confidence: 99%
“…There are several reports on experimental (4, 10, 11, 15) and clinical (1,5,9, 11) use of this technique, in some instances comparing it with conventional pulmonary angiography (6,8,14) and radionuelide scans (12).…”
Pulmonary digital subtraction angiography was diagnostic in 98.3 per cent of patients with possible acute pulmonary embolism. The procedure was well tolerated even in severely ill patients. A large image intensifier made simultaneous imaging of both lungs possible, reducing the number of contrast injections necessary. Small volumes of low iso-osmolar concentration of modern contrast media were used. There was no need for catheterization of the pulmonary artery. Theoretical considerations and our limited experience indicate that this will reduce the number of complications compared with conventional pulmonary angiography. The procedure is rapidly performed and the diagnostic accuracy high. This makes digital subtraction angiography cost effective. Digital pulmonary angiography can be recommended as the primary diagnostic method in most patients with possible pulmonary embolism.
“…The diagnostic efficiency of digital pulmonary angiography compared with conventional angiography has been investigated previously (6,8,14,15). Diagnostic studies were obtained in 90 to 98 per cent of the cases, and the overall accuracy of the digital method compared with the conventional has been over 90 per cent.…”
Section: Discussionmentioning
confidence: 99%
“…There are several reports on experimental (4, 10, 11, 15) and clinical (1,5,9, 11) use of this technique, in some instances comparing it with conventional pulmonary angiography (6,8,14) and radionuelide scans (12).…”
Pulmonary digital subtraction angiography was diagnostic in 98.3 per cent of patients with possible acute pulmonary embolism. The procedure was well tolerated even in severely ill patients. A large image intensifier made simultaneous imaging of both lungs possible, reducing the number of contrast injections necessary. Small volumes of low iso-osmolar concentration of modern contrast media were used. There was no need for catheterization of the pulmonary artery. Theoretical considerations and our limited experience indicate that this will reduce the number of complications compared with conventional pulmonary angiography. The procedure is rapidly performed and the diagnostic accuracy high. This makes digital subtraction angiography cost effective. Digital pulmonary angiography can be recommended as the primary diagnostic method in most patients with possible pulmonary embolism.
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