Feasibility, safety and clinical utility of angiography in patients with suspected pulmonary embolism.

摘要: The purpose of our study was to assess feasibility, safety and clinical utility selective pulmonary angiography in patients with suspected embolism a nondiagnostic lung scan. design prospective, descriptive study. subjects were consecutive clinically scintigram whom considered. Angiography withheld cases manifest heart failure, renal mean artery pressure above 40 mmHg, or if there compelling reasons. All followed-up for 6 months. outcome measures successful angiography, morbidity, mortality recurrent normal angiogram anticoagulants during months follow-up. Of 487 patients, 196 (40 %) had scan findings. In 46 (23 withheld. Pulmonary excluded 105 (70 %), proven (27 patients. 5 (3 the inadequate interpretation. No fatal complications encountered [95% confidence interval (CI) 0–2.4%]. Nonfatal occured 3 (2%; 95% CI 0–3.4%). is safe, rules out two thirds can be performed almost 80% these It safe withhold long-term obtained this subgroup embolism.