Role of MDCTA in Bronchial Artery Embolization in patients with Hemoptysis

Authors

  • Shailesh Kumar Panday Dept. of Radiodiagnosis and Nuclear Medicine. B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Sandip Kumar Mandal Dept. of Radiodiagnosis and Nuclear Medicine. B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Suman Gnawali Dept. of Radiodiagnosis and Nuclear Medicine. B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Nitu Sharma Dept. of Radiodiagnosis and Nuclear Medicine. B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Ganga Dutta Adhikari Dept. of Radiodiagnosis and Nuclear Medicine. B P Koirala Memorial Cancer Hospital, Bharatpur, Nepal
  • Ajay Kumar Yadav Department of Radio-Diagnosis, Imaging and Nuclear Medicine, BP Koirala Memorial Cancer Hospital, Bharatpur, Nepal

DOI:

https://doi.org/10.3126/njc.v7i1.60027

Keywords:

Multi-detector CT angiography, bronchial artery embolization, DSA

Abstract

Objective:To evaluate the role of bronchial artery MDCTA in bronchial artery embolization in the treatment of haemoptysis patients.

Methods: 46 patients treated with bronchial artery embolization for haemoptysis was included in the study at 1st Affiliated Hospital, Jinzhou Medical University. They were classified into 2 groups, Group A-Preoperative CTA and Group B -Simple DSA. Group A (n=28) is those with preoperative CTA examination performed, while group B (n=18) is those who performed DSA directly without preoperative CTA. The results of CTA and DSA, technical and clinical outcome compared and analyzed.

Results: 48 bleeding arteries were identified in group A while 24 bleeding arteries were identified in group B. These arteries were embolized successfully. In the group A total fluoroscopy time, total operative time, and contrast dose were shorter than group B respectively (8.42± 2.82; 28.34± 5.61; 27.86± 6.42 VS. 18.46± 10.34; 40.27±16.32; 62.59±19.48).

Conclusion: Bronchial artery CTA can objectively evaluate haemoptysis associated with vascular origin, number and its shape and it can reduce the operative time and reduce the radiation exposure to doctors and patients too, it increase the success rate of haemoptysis interventional therapy guidance has wide clinical application value

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Phrenic arterial steal towards the Bronchial Artery

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Published

2023-11-28

How to Cite

Panday, S. K., Mandal, S. K., Gnawali, S., Sharma, N., Adhikari, G. D., & Yadav, A. K. (2023). Role of MDCTA in Bronchial Artery Embolization in patients with Hemoptysis . Nepalese Journal of Cancer, 7(1), 75–88. https://doi.org/10.3126/njc.v7i1.60027

Issue

Vol. 7 No. 1 (2023)

Section

Original Articles

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Copyright (c) 2023 Nepalese Journal of Cancer

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