Document Detail


Nonbronchial systemic collateral arteries: significance in percutaneous embolotherapy for hemoptysis.
MedLine Citation:
PMID:  3615866     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty patients with massive or recurrent hemoptysis underwent percutaneous transcatheter embolotherapy between 1979 and 1986 for the following diseases: cavitary aspergillosis (n = 4); cystic fibrosis (n = 4); tuberculosis (n = 3); bronchogenic carcinoma (n = 3); bronchiectasis (n = 3); small cell lung carcinoma 6 years after irradiation (n = 1); congenital heart disease, after Glenn and Blalock anastomoses (n = 1); and unknown interstitial disease (n = 1). Bronchial arteries were embolized in all but one patient. In nine patients (45%) nonbronchial systemic collateral arteries contributed significantly to areas of pathologic pulmonary tissue and frequently were the major arterial supply. These nonbronchial systemic collaterals included branches of the subclavian and axillary arteries (n = 7), intercostal arteries (n = 5), and phrenic arteries (n = 3) and accounted for 59.5% of the total number of arteries embolized. Recognition and occlusion of nonbronchial systemic collaterals providing blood to hypervascular pulmonary lesions is essential for successful percutaneous embolotherapy of hemoptysis.
Authors:
F S Keller; J Rosch; T G Loflin; P H Nath; R B McElvein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  164     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1987-09-14     Completed Date:  1987-09-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  687-92     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Bronchial Arteries*
Collateral Circulation*
Embolization, Therapeutic*
Female
Hemoptysis / etiology,  therapy*
Humans
Lung / blood supply*
Male
Middle Aged

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


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