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Published on: November 4, 2015
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Severe hemoptysis: From diagnosis to embolization.
A Khalil1, B Fedida2, A Parrot3
1Department of radiology, Tenon Hospital, 75020 Paris, France; Department of radiology, Bichat Hospital, 46, rue Henri Huchard, 75018 Paris, France; Paris VII University, 75205 Paris cedex 13, France.
Diagnostic and Interventional Imaging
|July 5, 2015
Summary
Severe hemoptysis requires urgent diagnosis and treatment. Multidetector CT-angiography is crucial for guiding minimally invasive endovascular treatments, achieving high success rates in controlling bleeding.
Area of Science:
- Medical Imaging
- Interventional Radiology
- Pulmonary Medicine
Background:
- Severe hemoptysis poses a life-threatening risk of asphyxia.
- Prompt diagnosis and treatment are critical for patient survival.
- Chest imaging plays an essential role in managing hemoptysis.
Purpose of the Study:
- To highlight the importance of multidetector CT-angiography in assessing severe hemoptysis.
- To emphasize the role of endovascular treatment as a primary invasive therapy.
- To evaluate the effectiveness of bronchial artery embolization in hemoptysis management.
Main Methods:
- Utilizing multidetector CT-angiography for non-invasive assessment of hemoptysis.
- Identifying localization, mechanisms, causes, and severity of bleeding.
- Employing endovascular treatment, primarily bronchial arteriography embolization.
Main Results:
- Multidetector CT-angiography offers a comprehensive assessment of hemoptysis.
- Endovascular treatment, especially bronchial artery embolization, is the first-line invasive therapy.
- Successful hemoptysis control rates range from 65% to 92%.
Conclusions:
- Multidetector CT-angiography is invaluable for planning endovascular hemoptysis treatment.
- Bronchial artery embolization is highly effective, used in over 90% of cases.
- Effective hemoptysis control is achievable through timely diagnosis and intervention.
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