Post-mortem computed tomography (PMCT) and PMCT-angiography after transvascular cardiac interventions
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Post-mortem computed tomography (PMCT) and PMCT-angiography after transvascular cardiac interventions. / Vogel, Beatrice; Heinemann, Axel; Gehl, Axel; Hasegawa, Iwao; Höpker, Wilhelm-Wolfgan; Poodendaen, Chanasom; Tzikas, Antonios; Gulbins, Helmut; Reichenspurner, Hermann; Püschel, Klaus; Vogel, Hermann.
In: Archiwum medycyny sa̧dowej i kryminologii, Vol. 63, No. 4, 2014, p. 255-66.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Post-mortem computed tomography (PMCT) and PMCT-angiography after transvascular cardiac interventions
AU - Vogel, Beatrice
AU - Heinemann, Axel
AU - Gehl, Axel
AU - Hasegawa, Iwao
AU - Höpker, Wilhelm-Wolfgan
AU - Poodendaen, Chanasom
AU - Tzikas, Antonios
AU - Gulbins, Helmut
AU - Reichenspurner, Hermann
AU - Püschel, Klaus
AU - Vogel, Hermann
PY - 2014
Y1 - 2014
N2 - BACKGROUND AND PURPOSE: During the last years, Post Mortem Computed Tomography (PMCT) has become an integral part of the autopsy. PMCT-angiography may augment PMCT. Both exams have proven their value in visualizing complications after heart surgery. Therefore, they should also show complications after transvascular interventions. This assumption initiated our project: to evaluate the possibilities of PMCT and PMCT-angiography after transvascular cardiac interventions.MATERIAL AND METHODS: In our archives of characteristic and typical PMCT findings, we searched for observations on preceding transvascular cardiac interventions. Additionally, we reviewed our PMCT-angiographies (N = 140).RESULTS: After transvascular cardiac interventions, PMCT and PMCT-angiography visualized bleeding, its amount and its origin, cardiac tamponade, free and covered perforations, transvascular implanted valves and their position, catheters and pacemakers with fractures, abnormal loops and bending. Bubbles in the coronary vessels (indicating air embolism) become visible.CONCLUSION: After transvascular cardiac interventions, PMCT and PMCT-angiography show complications and causes of death. They prove a correct interventional approach and also guide autopsy. In isolated cases, they may even replace autopsy.
AB - BACKGROUND AND PURPOSE: During the last years, Post Mortem Computed Tomography (PMCT) has become an integral part of the autopsy. PMCT-angiography may augment PMCT. Both exams have proven their value in visualizing complications after heart surgery. Therefore, they should also show complications after transvascular interventions. This assumption initiated our project: to evaluate the possibilities of PMCT and PMCT-angiography after transvascular cardiac interventions.MATERIAL AND METHODS: In our archives of characteristic and typical PMCT findings, we searched for observations on preceding transvascular cardiac interventions. Additionally, we reviewed our PMCT-angiographies (N = 140).RESULTS: After transvascular cardiac interventions, PMCT and PMCT-angiography visualized bleeding, its amount and its origin, cardiac tamponade, free and covered perforations, transvascular implanted valves and their position, catheters and pacemakers with fractures, abnormal loops and bending. Bubbles in the coronary vessels (indicating air embolism) become visible.CONCLUSION: After transvascular cardiac interventions, PMCT and PMCT-angiography show complications and causes of death. They prove a correct interventional approach and also guide autopsy. In isolated cases, they may even replace autopsy.
M3 - SCORING: Journal article
C2 - 24847636
VL - 63
SP - 255
EP - 266
JO - Archiwum medycyny sa̧dowej i kryminologii
JF - Archiwum medycyny sa̧dowej i kryminologii
SN - 0324-8267
IS - 4
ER -
