Invasive Pulmonary Angiogram Performance and Interpretation in the Diagnosis of Pulmonary Thromboembolic Disease

Authors

Ju Young Bae, Section of Cardiovascular Medicine, Department of Internal Medicine, Yale New Haven Health Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610, USA.Follow
Karthik Murugiah, Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA; Center for Outcomes Research and Evaluation, Yale New Haven Hospital, 195 Church Street, 6th Floor, New Haven, CT 06510, USA. Electronic address: karthik.murugiah@yale.edu.

Document Type

Article

Publication Title

Interventional cardiology clinics

Abstract

Invasive or selective pulmonary angiography has historically been used as the gold standard diagnostic test for the evaluation of a wide array of pulmonary arterial conditions, most commonly pulmonary thromboembolic diseases. With the emergence of various noninvasive imaging modalities, the role of invasive pulmonary angiography is shifting to the assistance of advanced pharmacomechanical therapies for such conditions. Components of invasive pulmonary angiography methodology include optimal patient positioning, vascular access, catheter selections, angiographic positioning, contrast settings, and recognition of angiographic patterns of common thromboembolic and nonthromboembolic conditions. We review the pulmonary vascular anatomy, step-by-step performance, and interpretation of invasive pulmonary angiography.

First Page

299

Last Page

307

DOI

10.1016/j.iccl.2023.03.002

Publication Date

7-1-2023

Recommended Citation

Bae, Ju Young and Murugiah, Karthik, "Invasive Pulmonary Angiogram Performance and Interpretation in the Diagnosis of Pulmonary Thromboembolic Disease" (2023). Cardiology. 88.
https://scholar.bridgeporthospital.org/cardiology/88

Identifier

37290835 (pubmed); NIHMS1938564 (mid); PMC10693920 (pmc); 10.1016/j.iccl.2023.03.002 (doi); S2211-7458(23)00020-2 (pii)