Diagnostic Value of Dual-input Computed Tomography Perfusion on Detecting Bronchial-Pulmonary Artery Fistula in Tuberculosis Patients with Massive Hemoptysis

Qu, Haixian; Wang, Maoqiang; Wang, Zhijun; Ao, Guokun; Yuan, Xiaoyang; Li, Qiang; Ma, Zhu; Xu, Qianru; Yan, Jieyu; Bai, Yanhua

doi:10.1016/j.acra.2017.12.013

Cited by 4 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clinically, because CT scans are still suboptimal for identifying the existence and dynamics of SPS, these shunts are mainly identified by angiography. Recently, Qu et al reported that SPS could be evaluated by dual-input computed tomography perfusion (DI-CTP) in tuberculosis-related hemoptysis patients [ 28 ]. However, the radiation exposure rate of DI-CTP is higher than that of conventional CTA.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Does the presence of systemic artery–pulmonary circulation shunt during bronchial arterial embolization increase the recurrence of noncancer-related hemoptysis? A retrospective cohort study

Yan

Liu

et al. 2023

Respir Res

View full text Add to dashboard Cite

Background The presence of systemic artery–pulmonary circulation shunt (SPS) during the bronchial arterial embolization (BAE) procedure, has been inferred to be a potential risk factor for recurrence. The aim of this study is to reveal the impact of SPS on the recurrence of noncancer-related hemoptysis after BAE. Methods In this study, 134 patients with SPS (SPS-present group) and 192 patients without SPS (SPS-absent group) who underwent BAE for noncancer-related hemoptysis from January 2015 to December 2020 were compared. Four different Cox proportional hazards regression models were used to clarify the impact of SPSs on hemoptysis recurrence after BAE. Results During the median follow-up time of 39.8 months, recurrence occurred in 75 (23.0%) patients, including 51 (38.1%) in the SPS-present group and 24 (12.5%) in the SPS-absent group. The 1-month, 1-year, 2-year, 3-year and 5-year hemoptysis-free survival rates in the SPS-present and SPS-absent groups were 91.8%, 79.7%, 70.6%, 62.3%, and 52.6% and 97.9%, 94.7%, 89.0%, 87.1%, and 82.3%, respectively (P < 0.001). The adjusted hazard ratios of SPSs in the four models were 3.37 [95% confidence intervals (CI), 2.07–5.47, P < 0.001 in model 1], 1.96 (95% CI, 1.11–3.49, P = 0.021 in model 2), 2.29 (95% CI, 1.34–3.92, P = 0.002 in model 3), and 2.39 (95% CI, 1.44–3.97, P = 0.001 in model 4). Conclusions The presence of SPS during BAE increases the recurrence probability of noncancer-related hemoptysis after BAE.

show abstract

Section: Discussionmentioning

confidence: 99%

“…However, the radiation exposure rate of DI-CTP is higher than that of conventional CTA. The sensitivity and specificity of DI-CTP and angiography of BAE need to be further compared [ 28 ]. Therefore, the possible imaging findings associated with the presence of SPSs need to be further investigated.…”

Section: Discussionmentioning

confidence: 99%

Does the presence of systemic artery–pulmonary circulation shunt during bronchial arterial embolization increase the recurrence of noncancer-related hemoptysis? A retrospective cohort study

Yan

Liu

et al. 2023

Respir Res

View full text Add to dashboard Cite

show abstract

“…Thus, it remains uncertain whether there is a causal relationship between tuberculosis and fistula formation. Whilst pulmonary tuberculosis may cause acquired bronchial artery-pulmonary artery fistula, it is a chronic inflammatory process, and in most adult patients, BPF develops years or even decades after the onset of tuberculosis (18). Thus, acquired BPF and pulmonary tuberculosis often occur several years apart.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, no continuous angiography studies have been performed to objectively determine the natural history of BPF. It is well known that DSA is the gold standard for the diagnosis of BPF, while Qu et al (18) found that DI-CTP scans have diagnostic value for detecting BPF in patients with tuberculosis and massive hemoptysis, providing an alternative diagnostic method. Hui et al (19) reported 31 cases in which bronchial artery-pulmonary artery malformations were found during the interventional operation of patients with patent ductus arteriosus.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Hemoptysis Caused by Pulmonary Tuberculosis Complicated With Bronchial Artery-Pulmonary Artery Fistula in Children

Zhu

et al. 2021

Front. Pediatr.

View full text Add to dashboard Cite

Bronchial artery-pulmonary artery fistula secondary to pulmonary tuberculosis is an important cause of hemoptysis in adults, but it's relatively rare in children. Bronchial artery-pulmonary artery fistulas are mostly congenital in children and may have no clinical manifestations in the early stage. Congenital bronchial artery-pulmonary fistula with pulmonary tuberculosis can lead to hemoptysis. From 2016 to 2020, two children with pulmonary tuberculosis complicated with bronchial artery and pulmonary artery fistula were admitted and treated in our hospital. We reminded pediatricians to pay attention to a variety of etiology combined with the possibility of children's hemoptysis.

show abstract

Clinical characteristics and postoperative outcomes of systemic artery-to-pulmonary vessel fistula in hemoptysis patients

et al. 2022

View full text Add to dashboard Cite

Diagnostic Value of Dual-input Computed Tomography Perfusion on Detecting Bronchial-Pulmonary Artery Fistula in Tuberculosis Patients with Massive Hemoptysis

Cited by 4 publications

References 14 publications

Does the presence of systemic artery–pulmonary circulation shunt during bronchial arterial embolization increase the recurrence of noncancer-related hemoptysis? A retrospective cohort study

Does the presence of systemic artery–pulmonary circulation shunt during bronchial arterial embolization increase the recurrence of noncancer-related hemoptysis? A retrospective cohort study

Case Report: Hemoptysis Caused by Pulmonary Tuberculosis Complicated With Bronchial Artery-Pulmonary Artery Fistula in Children

Clinical characteristics and postoperative outcomes of systemic artery-to-pulmonary vessel fistula in hemoptysis patients

Contact Info

Product

Resources

About