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Value of multidetector computed tomography angiography before bronchial artery embolization in hemoptysis management and early recurrence prediction: a prospective study
- Source :
- BMC Pulmonary Medicine, Vol 20, Iss 1, Pp 1-10 (2020), BMC Pulmonary Medicine
- Publication Year :
- 2020
- Publisher :
- Research Square Platform LLC, 2020.
-
Abstract
- Background Multidetector computed tomography (MDCT) angiography is a useful examination to detect the source of the bleeding in patients with hemoptysis. The aim of the study was to prospectively evaluate the role and clinical efficacy of MDCT angiography before bronchial artery embolization (BAE) for the management of hemoptysis, and to investigate the predictors of early recurrence. Methods It is a double-center study which included 57 hemoptysis patients undergoing MDCT angiography prior to BAE from August 2019 to July 2020. A prospective analysis of culprit arteries detected by MDCT angiography allowed an evaluation of the role of this technique. A follow-up was done to assess the efficacy of BAE with preprocedural MDCT angiography and to explore the risk factors of early recurrent hemoptysis. Results The accuracy of MDCT angiography in the identification of culprit arteries was as high as 97.5%. The average number of total culprit arteries per patient was 2.75 ± 1.73. Among which, the average numbers of culprit ectopic bronchial arteries (BAs) and non-bronchial systemic arteries (NBSAs) per patient were 0.21 ± 0.41 and 1.04 ± 1.57, respectively. The immediate clinical success rate, total hemoptysis recurrence rate, and early hemoptysis recurrence rate of BAE following MDCT angiography were 94.7, 18.5, 16.7%, respectively. Aspergilloma (HR = 6.63, 95% CI: 1.31–33.60, p = 0.022) was associated with an increase in the risk of early recurrence. Conclusions MDCT angiography should be performed before BAE for the management of hemoptysis. Aspergilloma was an independent predictor for early recurrence.
- Subjects :
- Adult
Male
Pulmonary and Respiratory Medicine
Hemoptysis
medicine.medical_specialty
Computed Tomography Angiography
Early Recurrence
medicine.medical_treatment
Bronchi
Bronchial Arteries
Culprit
03 medical and health sciences
0302 clinical medicine
Recurrence
Early recurrence
Bronchial artery embolization
medicine.artery
Multidetector Computed Tomography
Multidetector computed tomography
medicine
Humans
Prospective Studies
cardiovascular diseases
030212 general & internal medicine
Embolization
Prospective cohort study
Tuberculosis, Pulmonary
Aged
Proportional Hazards Models
lcsh:RC705-779
medicine.diagnostic_test
business.industry
lcsh:Diseases of the respiratory system
Middle Aged
medicine.disease
Embolization, Therapeutic
Survival Rate
Treatment Outcome
030228 respiratory system
Angiography
cardiovascular system
Female
Multidetector computed tomography angiography
Radiology
Bronchial artery
business
Aspergilloma
Research Article
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- BMC Pulmonary Medicine, Vol 20, Iss 1, Pp 1-10 (2020), BMC Pulmonary Medicine
- Accession number :
- edsair.doi.dedup.....fe50582e2f42344233994f6f88cc58cc