Clinical impact of multidetector row computed tomography before bronchial artery embolization in patients with hemoptysis: a prospective study

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
Mudit GuptaRashmi Gupta

Abstract

To evaluate prospectively the role and impact of multidetector row computed tomography (MDCT) before bronchial artery embolization (BAE) in patients with hemoptysis. MDCT of the thorax was performed in 27 patients (21 men, 6 women; age range, 22-70 years; mean, 39 years) with hemoptysis who were referred for BAE. Transverse, multiplanar reconstruction, and 3-dimensional reconstruction (maximum intensity projection and volume rendered) images were analysed to identify the abnormal hypertrophied bronchial and nonbronchial systemic arteries causing hemoptysis, their origin and course were noted. Digital subtraction angiography was performed with the knowledge of findings of MDCT. Selective arteriogram of abnormal bronchial as well as nonbronchial arteries was performed. Embolization was attempted in 25 of these patients (92.6%) by using polyvinyl alcohol particles (350-500 μm), Gelfoam or Embospheres (400-700 μm). Follow-up was done for a mean period of 20.5 months. Based on MDCT, 2 of 27 patients were found unsuitable for BAE. On computed tomography, 38 arteries (27 bronchial and 11 nonbronchial systemic arteries) were identified as abnormal hypertrophied vessels. On angiography, 34 of these arteries (25 bronchial and 9 nonbronch...Continue Reading

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Citations

Aug 21, 2013·American Journal of Respiratory and Critical Care Medicine·Timothy H T OhTharumenthiran Ramanathan
Sep 11, 2018·Expert Review of Respiratory Medicine·Antoine ParrotMuriel Fartoukh
Jun 27, 2020·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Juan YangXing Chen
Oct 12, 2019·Chinese Medical Sciences Journal = Chung-kuo I Hsüeh K'o Hsüeh Tsa Chih·Ying ChenZheng-Yu Jin
Nov 20, 2019·The Indian Journal of Radiology & Imaging·Ashu Seith BhallaAnkur Goyal
Jan 22, 2021·Journal of Computer Assisted Tomography·Carlos S RestrepoJorge Carrillo

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Methods Mentioned

BETA
imaging techniques
dissection

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