Learning objectives
To elaborate the role of Multidetector row computed tomography (MDCT) before bronchial artery embolization (BAE) in patients with hemoptysis
Management of hemoptysis
Bronchial Artery Embolization techniques.
Background
Hemoptysis is defined as bleeding originating from the lower respiratory tract.
Although hemoptysis may cease temporarily,
a possible life-threatening condition may still be present,
requiring complete evaluation and treatment.
Hemoptysis’ severity is classically classified based on the amount of bleeding.
There are multiple causes of hemoptysis
Airway diseases
Parenchymal diseases
Cardiovascular diseases
Other causes.
The common causes of bleeding from the large vessels nowadays include cancer,
bronchiectasis,
tuberculosis,
and fungal infections.
The most common underlying causes of hemoptysis vary in reported studies depending on the...
Findings and procedure details
The source of bleeding must be defined clearly and hemoptysis must be differentiated from MDCT of the thorax.
Transverse,
multiplanar reconstruction and 3-dimensional reconstruction images were analysed to identify the abnormal hypertrophied bronchial and non bronchial systemic arteries causing hemoptysis,
their origin and course were noted.
Digital subtraction angiography was performed with the knowledge of findings of MDCT.
All patients were subjected to a complete clinical assessment.
Laboratory data were reviewed.
Chest X rays(Portable according to the patient condition) were performed for all patients prior...
Conclusion
MDCT angiography allows rapid and detailed identification of abnormal bronchial and non bronchial systemic arteries using a variety of reformatted images,
providing a precise road map which can be used to guide therapeutic arterial embolization procedures.
This information may be helpful for the interventional radiologist in order to avoid thoracic aortography and attempt direct catheterization of the arteries to be occluded,
resulting in reducing the examination time in the angiography suite,
and minimizing contrast load and radiation dose.
So,
CT angiography is best way before...
Personal information
Sooraj S R,
Interventional Radiology Technologist,
Kerala Institute of Medical Sciences,Anayara,
Thiruvananthapuram.
Manish Kumar Yadav DMRD DNB FNVIR,Consultant and Co-ordinator,
Interventional Radiology,
Kerala Institute of Medical Sciences,Anayara,
Thiruvananthapuram.
Madhavan Unni MD DMRD,Consultant and Head of Department,
Imaging and Interventional Radiology,
Kerala Institute of Medical Sciences,Anayara,
Thiruvananthapuram.
Dheeraj Bindal MBBS,
Resident,
Imaging and Interventional Radiology,
Kerala Institute of Medical Sciences,Anayara,
Thiruvananthapuram.
References
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