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-Most commonly it arises from the calf veins. The venous thrombi
predominately originate in venous valve pockets (inset) and at
other sites of presumed venous stasis. To reach the lungs,
thromboemboli travel through the right side of the heart. RA,
right atrium; RV, right ventricle.
This V/P scan demonstrates a high probability scan with multiple segmental
defects and normal ventilation in those areas
Intermediate probability V/P scan
scans with sub segmental defects or defects of any size that match
abnormalities on the chest x-ray or the ventilation scan.
Pulmonary angiogram
It is the "gold standard" test
-If you absolutely must know whether the
patient had pulmonary
-embolism there is no substitute for a well
done angiogram.
-With the angiogram you look for cut-offs
in the vascular tree or for intraluminal
filling defects.
Pulmonary angiogram showing
intraluminal filling defects.
Computed Tomography
- Enoxaparin: (Clexane)
- Dalteparin.
- Indications : if anticoagulation is
contraindicated or ineffective, consider
vena cava interruption with a filter such as
the Greenfield filter.
-Vena cava filters are less effective than
anticoagulation and may lead to increased
rates of DVT and may not protect against PE
(same PE and death rates as controls).
All Credit To
My colleagues
Thank You