Pulmonary artery embolization for recurrent haemoptysis in cavitatory sarcoidosis.

Published on May 1, 2011in Clinical Radiology2.118
· DOI :10.1016/J.CRAD.2010.12.009
Manil Subesinghe12
Estimated H-index: 12
(Leeds Teaching Hospitals NHS Trust),
J Pearce1
Estimated H-index: 1
(Leeds Teaching Hospitals NHS Trust)
+ 2 AuthorsSimon J. McPherson16
Estimated H-index: 16
(Leeds Teaching Hospitals NHS Trust)
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Abstract
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References21
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#1Antoine Khalil (Yahoo!)H-Index: 1
#2Muriel FartoukhH-Index: 35
Last. Marie-France CaretteH-Index: 30
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OBJECTIVE. The aim of this study was to evaluate the ability of MDCT angiography to modify early results in patients undergoing endovascular embolization for hemoptysis.MATERIALS AND METHODS. A comparative study was performed of two consecutive cohorts with 200 patients each who were treated by endovascular embolization for severe hemoptysis; one cohort underwent MDCT angiography and the other did not, but patients underwent further exploration with global aortography. We compared the two groups...
44 CitationsSource
#1Joo-Young Chun (St George's Hospital)H-Index: 3
#2Robert Morgan (St George's Hospital)H-Index: 52
Last. Anna-Maria Belli (St George's Hospital)H-Index: 33
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Hemoptysis can be a life-threatening respiratory emergency and indicates potentially serious underlying intrathoracic disease. Large-volume hemoptysis carries significant mortality and warrants urgent investigation and intervention. Initial assessment by chest radiography, bronchoscopy, and computed tomography (CT) is useful in localizing the bleeding site and identifying the underlying cause. Multidetector CT angiography is a relatively new imaging technique that allows delineation of abnormal ...
136 CitationsSource
#1A. KhalilH-Index: 1
#2Antoine ParrotH-Index: 27
Last. Marie-France CaretteH-Index: 30
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Background Hemoptysis of pulmonary arterial origin is a diagnostic challenge in patients admitted to a respiratory ICU (RICU) for treatment of hemoptysis. Its early accurate recognition and treatment reduce morbidity and prevent mortality. Multidetector row CT angiography (MDCTA) is an accurate method for imaging the systemic vascular network. Our aim was to assess the MDCTA signs and role in managing hemoptysis of pulmonary arterial origin. Methods We performed a retrospective clinical and radi...
100 CitationsSource
#1Sean DevineH-Index: 1
#2José A. DelgadoH-Index: 1
Last. Michael LippmannH-Index: 22
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Abstract: Sarcoidosis is a multisystem disease of unknown cause that primarily affects the lungs. Although the lung is involved in over 90% of the cases, hemoptysis as a presenting feature is rare. The MEDLINE database of the National Institutes of Health was used to search the available literature. Patients with concomitant mycetomas or malignancies were excluded. We conclude the following: (1) When hemoptysis is the initial manifestation of sarcoid, endobronchial involvement is usually present...
1 CitationsSource
#1A. KhalilH-Index: 1
#2Muriel FartoukhH-Index: 35
Last. Marie-France CaretteH-Index: 30
view all 6 authors...
OBJECTIVE. MDCT has improved the management of hemoptysis by providing more precise depiction of bronchial and nonbronchial systemic arteries than conventional CT. The purpose of this article is to review the role of MDCT in the identification of the bleeding site and the vessels causing hemoptysis.CONCLUSION. Identification of the origin of the involved systemic arteries (bronchial and nonbronchial) or involved pulmonary artery on MDCT enables the interventional radiologist to treat them, espec...
74 CitationsSource
#1Bobbak VahidH-Index: 7
#2Vinia MendozaH-Index: 3
Last. Paul E. MarikH-Index: 101
view all 4 authors...
Sarcoidosis is a systemic disease that commonly involves the lungs and the heart. Although rare, lifethreatening cardiopulmonary emergencies can occur. Acute respiratory failure, massive hemoptysis, and
1 Citations
#1John F. BruzziH-Index: 10
#2Martine Remy-JardinH-Index: 77
Last. Jacques RemyH-Index: 64
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Hemoptysis is symptomatic of a potentially life-threatening condition and warrants urgent and comprehensive evaluation of the lung parenchyma, airways, and thoracic vasculature. Multi–detector row computed tomographic (CT) angiography is a very useful noninvasive imaging modality for initial assessment of hemoptysis. The combined use of thin-section axial scans and more complex reformatted images allows clear depiction of the origins and trajectories of abnormally dilated systemic arteries that ...
131 CitationsSource
#1Hala Sbano (Hammersmith Hospital)H-Index: 1
#2Adam W MitchellH-Index: 2
Last. James E. JacksonH-Index: 32
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OBJECTIVE. The aim of this study was to determine the incidence and etiology of pulmonary artery pseudoaneurysms in patients undergoing bronchial angiography for massive hemoptysis and to assess patient outcome after the embolization of these pseudoaneurysms.CONCLUSION. Peripheral pulmonary artery pseudoaneurysms occur in up to 11% of patients undergoing bronchial angiography for hemoptysis. These are often most easily appreciated on bronchial and/or nonbronchial systemic arterial angiograms bec...
82 CitationsSource
#1Young Cheol Yoon (SMC: Samsung Medical Center)H-Index: 20
#2Kyung Soo Lee (Samsung)H-Index: 31
Last. O Jung KwonH-Index: 69
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PURPOSE: To retrospectively evaluate 16–detector row computed tomography (CT) compared with conventional angiography in depiction of bronchial and nonbronchial systemic arteries in patients with hemoptysis. MATERIALS AND METHODS: Institutional review board approval was obtained, and informed consent was not required. Sixteen–detector row helical CT and conventional angiography of the thorax were performed in 22 patients (16 men, six women; age range, 18–75 years; mean age, 50 years) with hemopty...
87 CitationsSource
#2Hilario NunesH-Index: 36
Last. Michel BraunerH-Index: 20
view all 6 authors...
Severe thoracic sarcoidosis includes manifestations with significant clinical and functional impairment and a risk of mortality. Severe thoracic sarcoidosis can take on various clinical presentations and is associated with increased morbidity. The purpose of this article was to describe the CT findings in severe thoracic sarcoidosis and to explain some of their mechanisms. Subacute respiratory insufficiency is a rare and early complication due to a high profusion of pulmonary lesions. Chronic re...
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Cited By3
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#1Alex Roberto Ramírez Mejía (Hospital Clínico San Carlos)H-Index: 1
#2José Vicente Mendez Montero (Hospital Clínico San Carlos)H-Index: 1
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Hemoptysis can be a life-threatening condition that warrants urgent investigation and intervention. Common causes include bronchiectasis, chronic obstructive pulmonary disease, tuberculosis, and malignancy. Computed tomography angiography is an accurate imaging modality for assessment of hemoptysis. The bronchial arteries are the source of bleeding in most cases of hemoptysis, and bronchial artery embolization is the treatment of choice. The aim of this article is to summarize the pathophysiolog...
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#1Geoffrey Loh (Walter Reed National Military Medical Center)H-Index: 1
#2Christopher J. Lettieri (Walter Reed National Military Medical Center)H-Index: 27
Last. Anita A. Shah (Madigan Army Medical Center)H-Index: 8
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A 48-year-old non-smoking man with a 6-year history of pulmonary cavitary sarcoidosis presented with acute onset of haemoptysis of approximately 600 ml. Prior episodes of haemoptysis had resolved only after serial upper lobe wedge resections bilaterally and steroids. A chest CT identified bilateral upper lobe cavitary lesions with extravasation of contrast from a large right upper lobe cavity. The patient underwent urgent bronchial angiography and subsequent bronchial artery embolisation of a le...
4 CitationsSource
#1Antoine Khalil (Yahoo!)H-Index: 1
#2Muriel FartoukhH-Index: 35
Last. Marie-France CaretteH-Index: 30
view all 6 authors...
OBJECTIVE. The aim of this study was to evaluate the ability of MDCT angiography to modify early results in patients undergoing endovascular embolization for hemoptysis.MATERIALS AND METHODS. A comparative study was performed of two consecutive cohorts with 200 patients each who were treated by endovascular embolization for severe hemoptysis; one cohort underwent MDCT angiography and the other did not, but patients underwent further exploration with global aortography. We compared the two groups...
44 CitationsSource