Bronchial and non‐bronchial systemic arteries: Value of multidetector <scp>CT</scp> angiography in diagnosis and angiographic embolisation feasibility analysis

Yang, Lin; Chen, Ziqian; Yang, Xizhang; Zhong, Qun; Zhang, Hongwen; Li, Yang; Xu, Shengsheng; Li, Hui

doi:10.1111/1754-9485.12058

Cited by 16 publications

(8 citation statements)

References 15 publications

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“…The arterioles from this plexus with a diameter of <0.5 mm enter the bronchopulmonary segments, pass the muscular layer of bronchial wall and arrive beneath the bronchial submucosa [ 14 ]-[ 16 ]. When the diameter of an arteriole is larger than 2 mm, it is regarded as abnormal and may rupture [ 17 ]-[ 19 ]. In addition to bronchial artery, some branches arising directly from pulmonary artery may abnormally open to bronchial lumen.…”

Section: Discussionmentioning

confidence: 99%

Dieulafoy’s disease of the bronchus: report of a case and review of the literature

Wang

2014

J Cardiothorac Surg

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BackgroundDieulafoy’s disease is a vascular anomaly characterized by the presence of a tortuous dysplastic artery in the submucosa. Although frequently occurring in the gastrointestinal tract, multiple cases of Dieulafoy’s disease in the bronchus have been reported in the literature.Methods and resultsWe report a case of a 15-year-old boy suffering recurrent massive hemoptysis. Bilobectomy stopped bleeding after unsuccessful treatment with embolization of bronchial artery.ConclusionIt is concluded a congenital origin of this disease. Angiography and endobronchial ultrasonography can be used to diagnose Dieulafoy’s disease of bronchus whereas bronchoscopy biopsy should be avoided. Surgery is needed when embolization fails.Electronic supplementary materialThe online version of this article (doi:10.1186/s13019-014-0191-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Dieulafoy’s disease of the bronchus: report of a case and review of the literature

Wang

2014

J Cardiothorac Surg

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“…CT angiography (CTA) is an effective method for accurate evaluation of blood vessel responsible for hemoptysis. It has a high sensitivity for diagnosis of pathological artery [ 11 ]. Dual arterial CTA of the bronchial artery and non-bronchial artery can provide better preoperative guidance for percutaneous catheter embolization [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of regional arterial embolization before pleuropulmonary resection in 32 patients with tuberculosis-destroyed lung

Chen

Zhong

et al. 2018

BMC Pulm Med

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BackgroundTreatment of tuberculous-destroyed lung (TDL) with pleuropulmonary resection is challenging. Pulmonary hemorrhage is a frequent complication of this surgical procedure. Continuous efforts have been made to investigate clinical procedures that may reduce intraoperative bleeding effectively. In this study, we evaluated the feasibility and safety of regional arterial embolization before pleuropulmonary resection in patients with TDL.MethodsThe clinical data of 32 patients with TDL were retrospectively reviewed and analyzed. These patients were admitted to the hospital between July 2009 and November 2016. All of the patients had moderate to massive hemoptysis and received regional arterial embolization in affected areas. Then, these patients underwent pleuropulmonary resection within 1 week to 2 months after embolization.ResultsThe results showed that 25 patients (78.1%) had bronchial artery, and all patients had non-bronchial systemic artery found in affected areas. Mild to moderate chest pain was reported in 6 patients, and fever was reported in 2 patients. Intraoperative blood loss during pleuropulmonary resection in patients who had received preoperative regional arterial embolization was 625.6 ± 352.6 ml. Duration of the operation was 120.3 ± 75.2 min. Bronchopleural fistulae and empyema were found in 3 cases (9.4%).ConclusionPerformance of regional arterial embolization before pleuropulmonary resection offers a safe and feasible option that reduces intraoperative blood loss and shortens operative time in patients with TDL.

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“…In the remaining 10% of cases, the internal mammary, intercostal, and inferior phrenic artery are typically involved in hemoptysis (3,4). In most of the reported cases of inferior phrenic artery origin, the lower lobe of the lung was affected with chronic inflammation and found to be the site of bleeding (5-8).…”

Section: Discussionmentioning

confidence: 99%

Massive Hemoptysis due to Right Inferior Phrenic Artery-to-Right Pulmonary Artery Fistula in the Right Middle Lobe of the Lung

et al. 2017

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Massive hemoptysis is a medical emergency and needs immediate treatment. It occurs in a wide variety of pulmonary diseases and typically originates from the bronchial arteries. We herein report a very rare case of a patient bleeding from a right phrenic artery-to-pulmonary artery fistula accompanied with focal bronchiectasis in the right middle lobe of the lung. In this case, multi-detector computed tomography was useful for clarifying the etiology and the abnormal anastomosis and facilitated effective angiographic embolization.

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Bronchial and non‐bronchial systemic arteries: Value of multidetector CT angiography in diagnosis and angiographic embolisation feasibility analysis

Abstract: Multidetector CTA is an accurate imaging method in depicting the presence and number of arteries causing haemoptysis. This modality is also useful for determining the feasibility of angiographic embolisation for haemoptysis.

Cited by 16 publications

References 15 publications

Dieulafoy’s disease of the bronchus: report of a case and review of the literature

Dieulafoy’s disease of the bronchus: report of a case and review of the literature

Efficacy of regional arterial embolization before pleuropulmonary resection in 32 patients with tuberculosis-destroyed lung

Massive Hemoptysis due to Right Inferior Phrenic Artery-to-Right Pulmonary Artery Fistula in the Right Middle Lobe of the Lung

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