Pulmonary angiography in severe chronic pulmonary hypertension

Details

Serval ID
serval:BIB_AD6BA78B4549
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Pulmonary angiography in severe chronic pulmonary hypertension
Journal
Annals of Internal Medicine
Author(s)
Nicod  P., Peterson  K., Levine  M., Dittrich  H., Buchbinder  M., Chappuis  F., Moser  K.
ISSN
0003-4819 (Print)
Publication state
Published
Issued date
10/1987
Volume
107
Number
4
Pages
565-8
Notes
Journal Article --- Old month value: Oct
Abstract
We have analyzed the safety of doing pulmonary angiography in 67 consecutive patients with moderate-to-severe primary pulmonary hypertension or hypertension secondary to chronic thromboembolic occlusions of the pulmonary arteries. The average (+/- SD) pulmonary arterial systolic and diastolic pressures were 74 +/- 19 and 34 +/- 10 mm Hg, respectively. Fourteen patients had a right ventricular end-diastolic pressure of 20 mm Hg or more. Selective left and right main pulmonary artery injections were done using ionic contrast agents in 56 patients and nonionic contrast agents in 11. No major rhythm disturbances or systemic hypotension requiring therapy occurred, and there were no deaths. Thrombotic occlusions of the pulmonary arteries were identified in 52 patients and confirmed in all 42 of those who had a thromboendarterectomy. At autopsy, 3 of the 15 patients who had normal angiograms were found not to have had thrombotic occlusions. We conclude that pulmonary angiography can be done safely despite the presence of severe pulmonary hypertension and right ventricular failure, and that the procedure leads to the identification of chronic, major-vessel thromboembolic pulmonary hypertension that may be alleviated by thromboendarterectomy.
Keywords
Adolescent Adult Aged Chronic Disease Diagnosis, Differential Female Heart Catheterization Humans Hypertension, Pulmonary/etiology/*radiography Male Middle Aged Pulmonary Artery/*radiography Pulmonary Embolism/complications/radiography Risk
Pubmed
Web of science
Create date
25/01/2008 13:59
Last modification date
20/08/2019 15:17
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