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Vol. 49. Issue 6.
Pages 268-271 (June 2013)
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Vol. 49. Issue 6.
Pages 268-271 (June 2013)
Case Report
Diagnostic Imaging of Pulmonary Embolism Using Endobronchial Ultrasound
Diagnóstico por la imagen del tromboembolismo pulmonar mediante ecografía endobronquial
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Ayşegül Şentürk
Corresponding author
asenturk1967@yahoo.com

Corresponding author.
, Emine Argüder, Elif Babaoğlu, Habibe Hezer, H. Canan Hasanoğlu
Department of Chest Diseases, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
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Table 1. Patient Characteristics.
Table 2. Identification of Thrombi by CT Scan and by EBUS.
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Abstract

Endobronchial ultrasound (EBUS) is a new technique that can be used for the diagnostic imaging of central pulmonary thromboembolism (PE). In eight cases at our clinic, EBUS was used because of mediastinal lymphadenopathies or paramediastinal nodular lesions and at the same time images of a PE were obtained by means of EBUS. The PE was diagnosed before the EBUS with computed tomography (CT) of the lungs in all cases (5 women and 3 men). The repletion defects of all the cases compatible with a PE were clarified with CT-angiography. EBUS may be an alternative method for the diagnosis of PE, since it can indicate the presence of a thrombus in the central pulmonary arteries in hemodynamically stable cases.

Keywords:
Diagnostic imaging
Pulmonary
Thromboembolism
Endobronchial
Ultrasound
Resumen

La ecografía endobronquial (EBUS) es una nueva técnica que puede utilizarse para el diagnóstico por la imagen del tromboembolismo pulmonar (TEP) central. En 8 casos de nuestra clínica se utilizó la EBUS a causa de adenopatías mediastínicas o lesiones nodulares paramediastínicas, y al mismo tiempo se obtuvieron imágenes de un TEP mediante la EBUS. El TEP se diagnosticó antes de la EBUS mediante tomografía computarizada (TC) pulmonar en todos los casos (5 mujeres y 3 varones). Los defectos de repleción de todos los casos compatibles con un TEP se esclarecieron mediante angio-TC. La EBUS puede ser un método alternativo para el diagnóstico del TEP, ya que puede indicar la presencia de un trombo en arterias pulmonares centrales en casos en los que la hemodinámica es estable.

Palabras clave:
Técnicas de diagnóstico por la imagen
Pulmonar
Tromboembolismo
Endobronquial
Ecografía

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