Feasibility of Computed Tomography Angiography as an Essential Prerequisite Tool in Cases of Massive Hemoptysis Requiring Embolization in a Tuberculosis Prevalent south Indian Population: Case series
2025/08/18 by Rai, Santosh PV, Acharya, Vishak, Chakrapani, M.
#Bronchial artery #CT angiography #embolization
paper · doi:10.82235/wajr.vol21no2.256
Abstract
Aims: The objective of this study is to assess the cases of massive hemoptysis suited for bronchial artery embolization (BAE).
The useful role of computed tomography angiography (CTA) in assessing the arteries responsible for the hemoptysis, prior to endovascular imaging and intervention is assessed.
Materials and Methods: CTA was performed with a 16 slice multi-detector row computed tomography scanner on all cases of massive hemoptysis provisionally posted for BAE (12 cases) in a 9 month period.
Results: Out of the 12 patients, 10 were completely symptom free after 6 months (83% success rate). Out of the
12 cases, 1 was judged as suboptimal detection on the CTA as compared with the conventional angiography. In 11 cases, CTA
appropriately demonstrated the hypertrophied bronchials, which were confirmed on conventional angiography and subsequently embolized (sensitivity 92%). All the 11 cases, which demonstrated the bronchial arterial (BA) and non-bronchial arterial feeders were also detected on conventional angiography (specificity 92%).
Conclusions: CTA is helpful in identifying the precise origin of the BAs from the aorta, which enhances the success of the procedure and clinical results. We recommend CTA before conventional angiography and attempting BAE.
Related
- Reevaluating the Role of Bronchoscopy Prior to Bronchial Artery Embolization in Nonintubated Patients With Hemoptysis Due to Bronchiectasis and Chronic Pulmonary Infection
- Optimal approach to performing and reporting computed tomography angiography for suspected acute pulmonary embolism: a clinical consensus statement of the ESC Working Group on Pulmonary Circulation & Right Ventricular Function, the Fleischner Society, the Association for Acute CardioVascular Care (ACVC) and the European Association of Cardiovascular Imaging (EACVI) of the ESC, endorsed by European Respiratory Society (ERS), Asian Society of Thoracic Radiology (ASTR), European Society of Thoracic Imaging (ESTI), and Society of Thoracic Radiology (STR)
- Optimal approach to performing and reporting computed tomography angiography for suspected acute pulmonary embolism: a clinical consensus statement of the ESC Working Group on Pulmonary Circulation & Right Ventricular Function, the Fleischner Society, the Association for Acute CardioVascular Care (ACVC) and the European Association of Cardiovascular Imaging (EACVI) of the ESC, endorsed by European Respiratory Society (ERS), Asian Society of Thoracic Radiology (ASTR), European Society of Thoracic Imaging (ESTI), and Society of Thoracic Radiology (STR)
- Fatal haemorrhage from Dieulafoy's disease of the bronchus
- A Study of Various Chest Radiological Manifestations of Pulmonary Tuberculosis in both Human Immunodeficiency Virus-positive and Human Immunodeficiency Virus-negative Patients in a South Indian Population