Role of 256 slice CT scan in pre and postoperative evaluation of congenital cardio-vascular anomalies: our experience at a tertiary care teaching hospital

Background: Ultrafast CT (UCT) scan plays an important role in the evaluation of congenital cardiovascular anomalies (CCVA). A major advantage of higher slice multi-detector CT (MDCT), is improved temporal as well as spatial resolution, that helps accurately to delineate complex cardiac and extra-cardiac anomalies with relative ease. Hence this study was aimed to highlight the utility of UCT in the evaluation of congenital cardiovascular anomalies in a large series of patients.Methods: All consecutive patients with suspected CCVA were evaluated by cardiac CT angiography (CCTA) on 256 slice CT scan in a multispecialty tertiary care teaching institute from June 2013 to December2015.Results: A total of 160 cases of CCVA were evaluated by CCTA. 50 patients had multiple anomalies. A total of 216 anomalies were diagnosed. Tetralogy of fallot (TOF) dominated the list of CCVAs (60, 28%) than the other abnormalities. Of them, 25 patients underwent Blalock Taussig (BT) shunt surgeries, 20 patients underwent total repair operation like Rastelli’s operation or augmentation of pulmonary arteries (PAs) while 15 patients were lost to follow up. Most of the patients diagnosed with CCVAs were managed successfully based on the imaging diagnosis of the cardiovascular anomaly.Conclusions: Ultrafast CT scans have immense role in the evaluation of various types of congenital cardiovascular anomalies. It is particularly helpful in the evaluation of extra-cardiac systemic and pulmonary arterial and venous system, postoperative complications, to see the status of shunts, stents and conduits.

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A STUDY OF STATUS OF RETRIEVAL MECHANISM FOR PATIENTS TAKING ANTITUBERCULAR TREATMENT UNDER NTEP

10.36106/3601551 ◽

2021 ◽

pp. 47-49

Author(s):

Jai Kishan ◽

Achchhar Singh ◽

Puneet Aggarwal

Keyword(s):

Tertiary Care ◽

Respiratory Medicine ◽

Tertiary Care Centre ◽

The Past ◽

Antitubercular Treatment ◽

The Status ◽

History Of ◽

Retrieval Mechanism ◽

Lost To Follow Up

Introduction--A observational study was conducted in the Department Of Respiratory Medicine in a tertiary care centre who were taking ATT under DOTS or had history of ATTconsumption in the past. Aim :Aim of the study was to evaluate the status of a retrieval mechanism for patients who are lost to follow-up and to identify the strengths and weakness in the dispersal of medications, monitoring and follow-up of patients and status of retrieval mechanism. Materials and Methods: The study was carried out among 201 patients coming to the Department of Respiratory Medicine who were on ATTunder DOTS or had received ATTin the past. Demographic details and clinical ndings were noted. Data collected was entered into Excel spread sheet and quantitative data were expressed as number and percentage. Results- Among 201 participants 17.4% missed their doses whereas 82.6% of the participants took their medications regularly. Among the patients who missed their doses retrieval actions were taken in only 42.9%participants.Among those participants in whom retrieval actions were taken 14.3% were lost to follow up,97.14 % of the participants who missed their doses received multiple days medications. Besides this, 80% of the participants who missed their doses suffered from adverse effects of ATTduring their course of treatment. Conclusion—From this study we conclude that under NTEPmajority of patients are taking ATT regularly but regular follow-up of patients on ATT and retrieval action is not upto the mark and it should be strengthened to prevent development of DRTB and its spread in the community.

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