Angiographic evaluation of chronic pulmonary embolism.

Published

Journal Article

In some patients acute pulmonary emboli may fail to resolve normally, resulting in chronic pulmonary embolism. This may lead to pulmonary hypertension, respiratory insufficiency, cor pulmonale, and death. The angiographic evaluation in nine patients with chronic pulmonary embolism who underwent embolectomy is presented. Particular emphasis on the predictive value of selective bronchial arteriography in four of these patients is considered. In chronic pulmonary embolism, pulmonary arteries distal to obstructed areas may remain patent and be supplied by hypertrophied bronchial arteries. Since back-bleeding of arterial blood from the bronchial circulation at surgery may predict the success of embolectomy, preoperative bronchial arteriography may be useful for predicting potential surgical success.

Full Text

Duke Authors

Cited Authors

  • Mills, SR; Jackson, DC; Sullivan, DC; Moore, AV; Heaston, DK; Wolfe, WG; Sabiston, DC

Published Date

  • August 1980

Published In

Volume / Issue

  • 136 / 2

Start / End Page

  • 301 - 308

PubMed ID

  • 7403501

Pubmed Central ID

  • 7403501

Electronic International Standard Serial Number (EISSN)

  • 1527-1315

International Standard Serial Number (ISSN)

  • 0033-8419

Digital Object Identifier (DOI)

  • 10.1148/radiology.136.2.7403501

Language

  • eng