Key result
Percutaneous subclavian catheterization allows rapid pulmonary angiography to determine embolectomy need in massive PE.
Why the study?
Rapid diagnosis remains essential for successful treatment of massive pulmonary emboli despite changes in management approaches.
Does percutaneous catheterization of the subclavian vein allow rapid pulmonary angiography of adequate detail in patients with massive pulmonary emboli?
Does percutaneous catheterization of the subclavian vein allow rapid pulmonary angiography of adequate detail in patients with massive pulmonary emboli?
Percutaneous subclavian vein catheterization is a viable technique for rapid pulmonary angiography to diagnose massive pulmonary emboli and guide embolectomy decisions.
Supports rapid angiography for embolectomy decisions in massive PE; leaves open relevance versus modern CT imaging given Level 5 evidence.
Although the management of massive pulmonary emboli has changed through the years, the need for rapid diagnosis remains the underlying factor for successful treatment. Percutaneous catheterization of the subclavian vein and advancement of the catheter into the right atrium allows rapid pulmonary angiography of adequate detail to determine the need for pulmonary embolectomy.
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Lemole et al. (1971) studied this question. Percutaneous subclavian vein catheterization allows rapid pulmonary angiography with adequate detail to determine the need for pulmonary embolectomy in patients with massive pulmonary emboli.
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