A study of CT angiography for the evaluation of pulmonary embolism
Journal Title: Medpulse International Journal of Radiology - Year 2018, Vol 6, Issue 2
Abstract
Abstract Background: Ventilation-perfusion (V/Q) scintigraphy has been widely used as an initial diagnostic test for PE but is limited chiefly by the large percentage of indeterminate studies and the substantial number of patients with low-probability scans who in fact have PE. Aims and Objectives: To Study CT Angiography for the evaluation of pulmonary embolism. Methodology: After approval from institutional ethical committee this cross-sectional study was carried out in the department of Radio-Diagnosis during the one year period i.e. January 2017 to January 2018 in the patients suspected of Pulmonary Embolism and referred to the department of radiology were included into study after taking informed written consent. All the patients were undergone routine test including the CT Angiography of lung for the detection of pulmonary embolism those persons shown pulmonary embolism on CT angiography were included. During the one year period there were 32 patients with signs on CT angiography. All details of the patients like age, sex, risk factors etc. were noted. Result: the majority of the patients were in the age group of 40-50 i.e. 40.62%, followed by 50-60 21.87%,30-40 were 15.62%, >60 were 12.50%, 20-30 were 9.37%. The majority of the patients were Male i.e. 59.38%, followed by Female i.e. 40.62%.The majority of the patients were having complains like Repiratory distress i.e. 92%, Chest pain -81%, Hemoptyasis -65%, Tachycardia-59%. As per the CT Angiography the location was Central -40.63% , followed by Lobar in 28.13%, Segmental -21.88%, Sub segmental -9.38%.The majority of the patients associated with risk factors like Immobility -82%, H/o Surgery -75%, H/o Trauma -68%, DVT-53%, Obesity (BMI >30) -49%, H/o Contraceptive use -39%, COPD-27%. Conclusion: It can be concluded from our study that the majority of the patients were in the age group of 50-60 the most common clinical features were Repiratory distress, Chest pain, Hemoptyasis, Tachycardia etc. and the most common risk factors were Immobility, H/o Surgery , H/o Trauma, DVT, Obesity, Contraceptive use .
Authors and Affiliations
Ashishkumar V Yadav, Anil G joshi
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