Document Detail

Embolization of bronchial arteries of anomalous origin.
MedLine Citation:
PMID:  9688797     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To highlight the importance of detecting bronchial arteries of anomalous origin in patients with massive or recurrent hemoptysis. METHODS: In a series of 300 patients submitted to bronchial embolization in our hospital since 1986, we found 25 (8.3%) with 27 anomalous bronchial arteries. Eighteen patients presented with recurrent hemoptysis (10 massive) and seven with their first episode of massive hemoptysis. RESULTS: Of the 27 anomalous bronchial arteries demonstrated, 24 originated from the aortic arch, one from the left thyrocervical trunk, one from the right subclavian artery, and one from the lower descending thoracic aorta; two of the arteries demonstrated showed no pathological findings. Hemoptysis resolved following the first embolization in 14 patients (56%). In nine patients (36%) more than one procedure was necessary to arrest hemorrhage. In two patients surgical intervention was required. One patient died from bleeding. CONCLUSIONS: In cases of hemorrhage when the cause is not easily identified, or in cases of recurrence in spite of accurate embolization of pathological arteries, the presence of bronchial arteries of anomalous origin should be considered. Embolization is more difficult in these cases and there is an increased risk of complications.
C Sancho; E Escalante; J Domínguez; J Vidal; E Lopez; J Valldeperas; X J Montañá
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  21     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    1998 Jul-Aug
Date Detail:
Created Date:  1998-10-06     Completed Date:  1998-10-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  300-4     Citation Subset:  IM    
Department of Angioradiology, Ciutat Sanitaria y Universitaria de Bellvitge, Feixa llarga s/n, E-08907 L'Hospitalet, Barcelona, Spain.
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MeSH Terms
Aged, 80 and over
Bronchial Arteries / abnormalities*,  radiography
Embolization, Therapeutic / methods*
Follow-Up Studies
Hemoptysis / etiology*,  radiography,  therapy*
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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