Multidetector computed tomography in life-threatening hemoptysis
Autor: | Eva Castañer, M. Andreu, C. Spinu, A. Alguersuari, Xavier Gallardo |
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Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Lung business.industry medicine.medical_treatment medicine.anatomical_structure medicine.artery Pulmonary artery Multidetector computed tomography cardiovascular system medicine General Earth and Planetary Sciences cardiovascular diseases Embolization Technological advance Radiology Radiation treatment planning business Bronchial artery General Environmental Science Mdct angiography |
Zdroj: | Radiología (English Edition). 55:483-498 |
ISSN: | 2173-5107 |
Popis: | Life-threatening hemoptysis is a severe condition that requires rapid diagnosis and treatment. One of the treatments of choice is embolization. The initial assessment aims to locate the origin and cause of bleeding. The technological advance of the development of multidetector computed tomography (MDCT) has changed the management of patients with life-threatening hemoptysis. MDCT angiography makes it possible to evaluate the cause of bleeding and locate the vessels involved both rapidly and noninvasively; it is particularly useful for detecting ectopic bronchial arteries, nonbronchial systemic arteries, and pulmonary pseudoaneurysms. Performing MDCT angiography systematically before embolization enables better treatment planning. In this article, we review the pathophysiology and causes of life-threatening hemoptysis (including cryptogenic hemoptysis) and the MDCT angiography technique, and we review how to systematically evaluate the images (lung parenchyma, airways, and vascular structures). |
Databáze: | OpenAIRE |
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