Imaging of Chronic Thromboembolic Disease

Adina Haramati, Linda B. Haramati

Research output: Contribution to journalReview article

Abstract

Acute pulmonary embolism (PE) is a leading cause of cardiovascular morbidity. The most common long-term complication of acute PE is chronic thromboembolic disease, a heterogenous entity which ranges from asymptomatic imaging sequelae to persistent symptoms. Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare disease that can develop in this population and represents the only treatable type of pulmonary hypertension. Recognition of the characteristic findings of chronic pulmonary embolism and CTEPH provides not only diagnostic information, but is also crucial for guiding therapy. The present state-of-the-art review focuses on the multimodality imaging features of chronic pulmonary embolism. Detailed description and illustrations of relevant imaging findings will be demonstrated for ventilation/perfusion (V/Q) scan, CT scan and Dual-Energy CT and MRI and features that distinguish chronic PE from common imaging mimics.

Original languageEnglish (US)
Pages (from-to)245-255
Number of pages11
JournalLung
Volume198
Issue number2
DOIs
StatePublished - Apr 1 2020

Keywords

  • Chronic thromboembolic disease
  • Computed tomography
  • Dual-energy
  • Nuclear
  • Pulmonary embolism
  • Pulmonary hypertension

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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