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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Bronchial artery embolization.

Jonathan Lorenz1, Deepa Sheth, Jay Patel

  • 1The University of Chicago, Chicago, Illinois.

Seminars in Interventional Radiology
|September 3, 2013
PubMed
Summary

Bronchial arterial embolization is the primary treatment for hemoptysis, especially when caused by chronic inflammation. This procedure offers a vital alternative for patients facing limitations with medical or surgical options.

Keywords:
bronchial arteryembolizationhemoptysisinterventional radiology

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Area of Science:

  • Interventional Radiology
  • Pulmonary Medicine
  • Vascular Surgery

Background:

  • Hemoptysis is a serious condition with high morbidity and mortality.
  • Chronic inflammatory diseases often cause bronchial hemorrhages.
  • Traditional treatments like surgery and medical interventions have significant limitations.

Purpose of the Study:

  • To review bronchial arterial embolization for hemoptysis treatment.
  • To discuss anatomical and technical aspects of the procedure.
  • To evaluate outcomes and complications associated with bronchial arterial embolization.

Main Methods:

  • Review of literature on bronchial arterial embolization for hemoptysis.
  • Analysis of anatomical considerations for catheterization.
  • Discussion of technical procedural steps and embolization materials.

Main Results:

  • Bronchial arterial embolization is effective for controlling hemoptysis.
  • The procedure has a high success rate in experienced hands.
  • Complications are generally manageable, but risks exist.

Conclusions:

  • Bronchial arterial embolization is the first-line treatment for bronchial artery hemorrhage.
  • Careful consideration of anatomy and technique is crucial for successful outcomes.
  • The procedure offers a valuable therapeutic option for hemoptysis patients.