Type:
Educational Exhibit
Keywords:
Thorax, CT-Angiography, Diagnostic procedure, Haemorrhage
Authors:
C. Spinu, E. Castañer González, M. Andreu, X. Gallardo, J. M. Mata Duaso, J. C. Tortajada Bustelo, M. Cufi; Sabadell (Barcelona)/ES
DOI:
10.1594/ecr2013/C-1432
Conclusion
- The LTH is a serious clinical condition that requires prompt diagnosis and treatment.
- The treatment of choice is embolization.
- Bronchial circulation is the most frequent cause of LTH,
but nonbronchial systemic arteries or pulmonary arteries can also cause bleeding,
depending on the underlying pathology.
- MDCT angiography allows quick,
accurate and noninvasive assessment of the cause,
location and possible involved vessels.
It is particularly useful for detecting ectopic bronchial arteries,
nonbronchial systemic arteries and pulmonary artery pseudoaneurysms.
- The systematic use of MDCT angiography before embolization allows better planning of treatment,
shortens angiographic time and helps reduce the rate of rebleeding.