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  5. Double Flash Scan with Single Contrast Bolus for Triple Rule Out

Double Flash Scan with Single Contrast Bolus for Triple Rule Out

Adriano Camargo de Castro Carneiro, MD*, et al; Saulo de Tarso Oliveira Cantoni, MD**, et al; Caroline Bastida de Paula, BD***|30.06.15
This clinical case report shows outcomes of a CT examination that was requested to triple rule out coronary artery disease, pulmonary embolism and aortic dissection.

*Department of Cardiovascular CT and MRI of the Heart Hospital (HCor), São Paulo, Brazil;
**Department of Radiology of the Heart Hospital (HCor), São Paulo, Brazil;
***Siemens Healthineers Brazil

A 76-year-old male patient, with a known history of hypertension and dyslipidemia, was presented to the emergency department complaining of acute retrosternal chest pressure. The pressure began three hours previously, radiated to the back, was accompanied by dyspnea, nausea and profuse perspiration and lasted for 20 minutes. The initial electrocardiogram and biomarkers were normal. A CT examination was requested to rule out coronary artery disease, pulmonary embolism and/or aortic dissection (triple rule out).

The outcomes by Siemens Healthineers customers described herein are based on results that were achieved in the customer’s unique setting. Since there is no “typical” hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.