Ethiopathogenetic grounding of indications for comprehensive MSCT examination of patients having indications of thromboembolism of the pulmonary artery

M.B. Kozina
Keywords: thrombembolia, PE, MSCT-angiography, MSCT-angiopneumography, MSCT-coronarography, MSCT-ventriculography, computed tomography, emergency cardiosurgery.
Medicinskij al'manah, 2017, issue 3, pages 161-164.

Results of complex MSCT diagnostics of PE patients and its necessity are the basic topics of this

research. MSCT researches were conducted according to the bolus contrast enhanced CT angiography

protocol (267 patients, 71%) and the bolus contrast enhanced CT ventriculography protocol (107 cases, 31%)

with the use of nonionic iodine compounds. The MSCT data of 78 patients with verified PE were analyzed.

Hemodynamicallysignificant misperfusion (with the diameter of stenosis more than 50%) was identified in

7 PE patients (9% of cases); 10 PE patients (13%) had alterations of cardiac chambers with left atrial

appendage thrombosis prevailing, out of these patients 4 patients (40%) didn’t have such changes verified

through other noninvasive diagnosis methods.

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M.B. Kozina Ethiopathogenetic grounding of indications for comprehensive MSCT examination of patients having indications of thromboembolism of the pulmonary artery. Medicinskij al'manah 2017; (3): 161–164, http://dx.doi.org/10.21145/2499-9954-2017-3-161-164