Clinical Impact of Multidetector Row Computed Tomography before Bronchial Artery Embolization in Patients with Hemoptysis: A Prospective Study

Abstract

MDCT enables detection and depiction of all bronchial and nonbronchial systemic arteries causing hemoptysis.

Value of multidetector computed tomography angiography before bronchial artery embolization in hemoptysis management and early recurrence prediction: a prospective study

“…However, the resolution is not high enough to identify culprit BAs exactly. Based on the development of image quality, several reports have shown that MDCT angiography adequately provides the detection and depiction of both abnormal BAs and NBSAs [11,[14][15][16][17][27][28][29]. Our ndings seem to be consistent with Li et al (2019) who found that the rate of agreement between MDCT angiography and BAE in the diagnosis of arterial abnormalities was as high as 98.8% [17].…”

“…In patients with hemoptysis, the identi cation of sources and causes of bleeding with non-invasive methods prior to interventional techniques is essential. To date, there have been many studies reporting that multidetector computed tomography (MDCT) angiography before BAE plays a critical role in the diagnosis of abnormal arteries and the hemoptysis cause [9][10][11][12][13][14][15]. Importantly, it effectively identi es origins and courses of ectopic BAs and NBSAs, which should be useful for the management of this disease [8,9,16,17].…”

Managing Massive Hemoptysis

“…37 In a separate study of 722 patients with minor and massive hemoptysis, a new diagnosis of malignancy was made in Multidetector CT scan is superior to chest radiograph in ability to identify both the anatomic origin and underlying cause of hemorrhage and to define the course of both bronchial and nonbronchial collateral arteries. 37,38,41,42 In a retrospective study, CT scan identified the location and cause of bleeding in 70% and 77% of cases, respectively. 37 In a comparative retrospective study of 400 patients with hemoptysis, Khalil et al 43 observed that patients who underwent multiple detector CT angiography prior to BAE were more likely to have successful resolution of hemorrhage from embolization and were also less likely to need emergent surgery.…”

Multidetector computed tomography angiography for pre-embolization assessment in cystic fibrosis patients with massive haemoptysis

“…In the last few years, several works have recommended multidetector computed tomography angiography (MDCT-A) before BAE, although not specifically in patients with CF. This approach enables detection of the source of bleeding in 63%e100% of cases before treatment [3,4]. We report a case that illustrates the value of MDCT-A for localization of aberrant bronchial arteries before treatment.…”