Bronchial and Nonbronchial Systemic Arteries at Multi–Detector Row CT Angiography: Comparison with Conventional Angiography

Rémy‐Jardin, Martine; Bouaziz, N; Dumont, Philippe; Brillet, Pierre-Yves; Bruzzi, John F.; Rémy, Jacques

doi:10.1148/radiol.2333040031

Cited by 213 publications

(154 citation statements)

References 38 publications

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“…If the bronchial artery originates from the descending aorta with a level of the fifth or sixth thoracic vertebra, it is called as orthotopic; when its origin is at the descending aorta other than at the expected site, at the aortic arch, or at any aortic collateral vessel, with an intrapulmonary course along the ma- jor bronchi, it is called as ectopic [6] . The most frequent origins of ectopic bronchial arteries were the concavity of the aortic arch (92/124; 74%) [7] .…”

Section: Discussionmentioning

confidence: 99%

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A rare cause of hemoptysis. orthotopic or ectopic bronchial artery? A brief review of the literature.

Erkoç¹,

Okur²,

Karahan³

2015

Sakarya Med J

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Normal bronşial arterler direkt olarak inen torasik aortadan köken alan ve havayolları, özefagus ve lenf nodalarının beslenmesini sağlayan küçük çaplı damarlardır. Bronşial arterler orjinlerine, dallanma paternlerine ve seyirlerine göre farklı anatomik varyasyonlar gösterebilirler.Anormal yerleşimli bir bronşial arterin en önemli komplikasyonu rüptür ve hemoptizidir. Bu tip hastaların tedavisi için akciğerin anormal vasküler yapılarının anlaşılması önem arz etmektedir.

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Section: Discussionmentioning

confidence: 99%

“…On the other hand non bronchial systemic arteries were defined as arteries that enter the parenchyma through the inferior pulmonary ligament or through the adherent pleura; their course is not parallel to that of the bronchi [6] . There are similar cases regarding different types of ectopic bronchial artery in literature.…”

Section: Discussionmentioning

confidence: 99%

A rare cause of hemoptysis. orthotopic or ectopic bronchial artery? A brief review of the literature.

Erkoç¹,

Okur²,

Karahan³

2015

Sakarya Med J

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“…Remy-Jardin et al (36) demonstrated that MDCTA provides more detailed depiction of bronchial and nonbronchial systemic arteries than DSA.…”

Section: Multidetector Ctmentioning

confidence: 99%

“…A MDCTA of the chest performed before treatment is of value because the number and the origin of bronchial arteries may be carefully evaluated and the coexistence of an additional nonbronchial arterial supply may be easily depicted to determine the optimal angiographic approach (4,36). Recognition of more than one arterial supply before endovascular treatment in patients presenting with massive hemoptysis, will assist in choosing ectopic vessels amenable to embolization and in preventing recurrences of hemoptysis after initial successful embolization (15).…”

Section: Multidetector Ctmentioning

confidence: 99%

Diagnosis and management of hemoptysis

Larici

Franchi²,

Occhipinti³

et al. 2014

Diagn Interv Radiol

142

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Hemoptysis is the expectoration of blood that originates from the lower respiratory tract. It is usually a self-limiting event but in fewer than 5% of cases it may be massive, representing a life-threatening condition that warrants urgent investigations and treatment. This article aims to provide a comprehensive literature review on hemoptysis, analyzing its causes and pathophysiologic mechanisms, and providing details about anatomy and imaging of systemic bronchial and nonbronchial arteries responsible for hemoptysis. Strengths and limits of chest radiography, bronchoscopy, multidetector computed tomography (MDCT), MDCT angiography and digital subtraction angiography to assess the cause and lead the treatment of hemoptysis were reported, with particular emphasis on MDCT angiography. Treatment options for recurrent or massive hemoptysis were summarized, highlighting the predominant role of bronchial artery embolization. Finally, a guide was proposed for managing massive and nonmassive hemoptysis, according to the most recent medical literature.

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“…Compared to a conventional X-ray, the added value of contrast-enhanced multidetector CT (MDCT) systems, optionally equipped with EKG triggering to minimize pulsation artifacts of the thoracic vessels consists in improved detection of bronchiectasis (in cases of COPD or CF), bronchial carcinoma, aspergilloma [62,72], pulmonary arteriovenous malformations (PAVM) as well as aneurysms of the thoracic or pulmonary arteries. MDCT also provides useful information regarding the anatomy, origin and course of the bronchial arteries as well as the course of aberrant bronchial arteries [73,74]. Improved visualization of pulmonary pathologies and surgical planning can be achieved using numerous post-processing techniques such as multiplanar reconstruction (MPR), maximum intensity projection (MIP) or 3-dimensional (3 D) volume and surface displays (shaded surface display (SSD)).…”

mentioning

confidence: 99%

Radiologic Management of Haemoptysis: Diagnostic and Interventional Bronchial Arterial Embolisation

Ittrich

Klose

Adam

2014

Fortschr Röntgenstr

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Hemoptysis can be a life-threatening pulmonary emergency with high mortality, is symptomatic of an underlying severe pulmonary disease and requires immediate diagnosis and treatment. Diagnostically, bronchoscopy, conventional chest x-ray and contrast-enhanced multislice computed tomography (MSCT) with CT angiography (CTA) provide information regarding the underlying pulmonary disease, bleeding site, the vascular anatomy of the bronchial arteries (BA) and extrabronchial branches, as well a basis for planning of endovascular intervention. Therapeutically, bronchial artery embolization (BAE) is a safe and effective technique in the hands of an experienced interventionist with profound knowledge of the BA anatomy and possible pitfalls as well as experience with first-line therapy of recurrent and massive hemoptysis or as an intervention prior to elective surgery. Recurrent episodes of hemoptysis are not uncommon and require a prompt repeat BAE after exclusion of extrabronchial systemic and pulmonary artery bleeding sources. This review article should give an overview of the history, anatomical and pathophysiological basics and the clinical context of hemoptysis and diagnosis, as well as a survey of management, treatment and results of BAE. Key Points: ??Hemoptyses are life threatening and require urgent diagnostic and therapy. ??Chest x-ray, bronchoscopy, and contrast-enhanced MSCT with CTA should be carried out before therapeutic bronchial artery embolization (BAE). ??BAE for the treatment of massive and recurrent hemoptysis is safe and effective. ??False embolization in spinal branches of BA are the most serious complication of a BAE. ??Repeatedly BAE refractory cases should undergo elective surgery. Citation Format: ??Ittrich H, Klose H, Adam G Radiologisches Management von H?moptysen: Diagnostik und Interventionelle Bronchialarterienembolisation. Fortschr R?ntgenstr 2015; 187: 248???259

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Bronchial and Nonbronchial Systemic Arteries at Multi–Detector Row CT Angiography: Comparison with Conventional Angiography

Abstract: Multi-detector row helical CT angiography provides more precise depiction of bronchial and nonbronchial systemic arteries than does conventional angiography.

Cited by 213 publications

References 38 publications

A rare cause of hemoptysis. orthotopic or ectopic bronchial artery? A brief review of the literature.

A rare cause of hemoptysis. orthotopic or ectopic bronchial artery? A brief review of the literature.

Diagnosis and management of hemoptysis

Radiologic Management of Haemoptysis: Diagnostic and Interventional Bronchial Arterial Embolisation

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