Document Detail


Radiologic Management of Haemoptysis: Diagnostic and Interventional Bronchial Arterial Embolisation.
MedLine Citation:
PMID:  25372159     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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 Hämoptysen: Diagnostik und Interventionelle Bronchialarterienembolisation. Fortschr Röntgenstr 2014; DOI: 10.1055/s-0034-1385457.
Authors:
H Ittrich; H Klose; G Adam
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-11-5
Journal Detail:
Title:  RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin     Volume:  -     ISSN:  1438-9010     ISO Abbreviation:  Rofo     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-11-5     Completed Date:  -     Revised Date:  2014-11-6    
Medline Journal Info:
Nlm Unique ID:  7507497     Medline TA:  Rofo     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© Georg Thieme Verlag KG Stuttgart · New York.
Vernacular Title:
Radiologisches Management von Hämoptysen: Diagnostik und Interventionelle Bronchialarterienembolisation.
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