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VQ scans

Relative contraindications

  • Severe pulmonary HTN where blockade of lung capillaries may acutely exacerbate the condition
  • Right-to-left shunts, take care with these, but advers effects on coronary or cerebral circulations have rarely been observed
    • Can easily detect by immediate presence of renal activity best seen on posterior to lateral views and can be confirmed by demonstration of activity in the brain
      VQ scans right to left shunt.png

MAA injection

  • Shouldn't be injected through a filtered needle or a Swan
  • If drawing blood into syringe to confirm needle location, should not delay injecting or clots can form and will have clinically insignificant but radiolabeled clots
    • VQ scans radiolabeled clots.png