Open AccessChronic pulmonary embolism: diagnosis
Author(s) -
Katia Hidemi Nishiyama,
Sachin S. Saboo,
Yuji Tanabe,
Dany Jasinowodolinski,
Michael Landay,
Fernando Uliana Kay
Publication year - 2018
Publication title -
cardiovascular diagnosis and therapy
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.83
H-Index - 22
eISSN - 2223-3660
pISSN - 2223-3652
DOI - 10.21037/cdt.2018.01.09
Subject(s) - medicine , pulmonary thromboendarterectomy , pulmonary embolism , angioplasty , chronic thromboembolic pulmonary hypertension , pulmonary angiography , pulmonary hypertension , radiology , gold standard (test) , scintigraphy , magnetic resonance imaging , complication , angiography , balloon , thromboembolic disease , cardiac catheterization , cardiology , thrombosis
Chronic thromboembolic pulmonary hypertension (CTEPH) is a complication of venous thromboembolic disease. Differently from other causes of pulmonary hypertension, CTEPH is potentially curable with surgery (thromboendarterectomy) or balloon pulmonary angioplasty. Imaging plays a central role in CTEPH diagnosis. The combination of techniques such as lung scintigraphy, computed tomography and magnetic resonance angiography provides non-invasive anatomic and functional information. Conventional pulmonary angiography (CPA) with right heart catheterization (RHC) is considered the gold standard method for diagnosing CTEPH. In this review, we discuss the utility of these imaging techniques in the diagnosis of CTEPH.