Muzaffer Savaş TEPE, Cihangir ERSOY, Esat İzzet MEMİŞOĞLU, Mustafa MENTEŞ

Pulmoner emboli: Elektron beam komputerize tomografi ile non invaziv teşhis

Amaç: EBCTAngiografi ile pulmoner emboli teşhisi ve pulmoner arterlerin değerlendirilmesi. Materyal ve Metod: Mart 2000 ile Kasim 2001 arası dönemde pulmoner emboli şuphesiyle merkezimize gonderilen 5 hasta EBCTA metodu ile incelendi. Bulgular: 4 hastada pulmoner emboli saptandı. 75% tromboz unilateraldi, ve sağdaydı. PE saptanan bir hastada EBCTA sonuçlarını invaziv angiografi ile mukayese edebildik. Sonuç: EBCTA, PE teşhisindeki diğer metodlarla kıyaslandığında noninvaziv, zahmetsiz, bütün torasik yapıların, mediastenin, akciğer parankiminin değerlendirilmesini olanaklı kılan, PE benzeri klinik bulgular veren diğer nedenleri de ekarte etmede önemli rolü olan, pahalı olmayan bir metoddur.

Pulmonary embolism: Non invasive diagnosis using electron beam CT

Background: To evaluate and detect pulmonary embolism by using EBCT (Electron Beam Computerised Tomography ) Angiography of the pulmonary arteries. Methods: Within eighteen months period (between march 2000 and november 2001), five patients suspected of having pulmonary embolism (PE) underwent contrast material enhanced thin section EBCT Angiography of the pulmonary arteries. Results: Four of the five patients had pulmonary embolism. Thrombosis was unilateral in 75% of patients and located in the right side of the lung. In one patient with pulmonary embolism we were able to compare EBCTA results with invasive angiography. Conclusion: EBCTAngiography is a cost effective, noninvasive and comprehensive diagnostic method for pulmonary embolism, making possible the evaluation of all thoracic structures, including mediastinum and parenchyma as well as ruling out pathology simulating the symptoms of pulmonary embolism.

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