Poster électronique

Apport du scanner multidétecteur dans le diagnostic de l’embolie pulmonaire : techniques de l’angioscanner thoracique
F. Fadhlaoui, M. Grissa, M. Souei, K. Tlili Graies - Sousse - Tunisie
Congrès 2008
Résumé
Objectifs
Préciser l’apport de la technique en mode hélicoïdal sur multidétecteur dans l’exploration de l’embolie pulmonaire et en rappeler les différents aspects.
Matériels et méthodes
Il s’agit de patients explorés dans notre service depuis août 2006 (date d’acquisition du scanner multibarrettes). Tous nos patients avaient une radiographie du thorax+gazométrie complétée par un angioscanner thoracique. Nos examens sont réalisés sur un appareil 16 détecteurs GE (acq helicoidae sans produit de contraste PDC Ep : 2.5 mA : auto Kv : 120) de l’apex jusqu’aux surrénales dans le but d’éliminer d’autres pathologies associées. Puis l’angioscanner sera réalisé selon le protocole (smart prep) option sur les appareils GE, injection du PDC en bolus débit 4ml/s qtte 90 cc (adulte). Les images sont par la suite transferées et traitées sur une station (ADW 4.2 GE) avec reconstruction en 2D 3D et MIP. Ces patients bénéficient d’écho-Doppler.
Résultats
Durant une période de 12 mois, 200 patients sont examinés : notre travail concerne 30 patients, nos résultats sont : embolie pulmonaire (EP), gazométrie : hypoxie+hypocapnie, dozage dedimaire : positif, écho-Doppler, l’angioscanner : EP ; bipolaire (n = 3) homopolaire (n = 5) tronculairemassive (n = 6) troculaire (n = 5) distale (n = 11).
Conclusion
Le diagnostic positif de l’embolie pulmonaire repose sur l’imagerie, en particulier avec le scanner multidétecteur qui est une technique en mode hélicoïdal sensible et spécifique, celle-ci doit être réalisée de première intention en de suspicion clinique.
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2017-09-01 00.08 :
Lisa Calabrese

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2017-04-12 16.44 :
Ann Perez

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2017-04-12 16.35 :
Shana Phillips

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2017-04-12 14.54 :
Michael Law

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