FEATURES OF MULTIDETECTOR CT BRONCHIAL ARTERIOGRAPHY IN TUBERCULOUS HEMOTYSIS PATIENTS

Lê Hữu Ý, Lê Văn Nam

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Abstract

Objectives: To study bronchial artery characteristics on MDCT angiography in hemoptysis patients caused by pulmonary tuberculosis. Methods: It was a prospective study which included 22 hemoptysis patients caused by pulmonary tuberculosis at Respiratory Center, Military Hospital 103 and Pulmonary Tuberculosis Department, Vietnam National Lung Hospital from September 2019 to October 2020. Results: 58 culprit arteries were detected by MDCT angiography, and the suitability between MDCT angiography and bronchial artery embolization was 96.7%. The rate of patients with 2 culprit arteries was the highest (36.4%), and the number of culprit artery per patient was 2.4 ± 1.2. The mean diameter was 2.8 – 3.3mm with range 2.1 - 5.1mm. There were no patients experienced severe complications. Conclusion: MDCT angiography was safe for hemoptysis patients caused by pulmonary tuberculosis and the accuracy of MDCT angiography in the identification of culprit arteries was high.

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References

1. World Health Organization (2019), Global tuberculosis report 2019 http:// www.who.int/tb/publications/global_report/en/.
2. Panda A., Bhalla A. S. and Goyal A. (2017), "Bronchial artery embolization in hemoptysis: a systematic review", Diagn Interv Radiol, 23(4), 307-317.
3. Remy-Jardin M., Bouaziz N., Dumont P. et al. (2004), "Bronchial and nonbronchial systemic arteries at multi-detector row CT angiography: comparison with conventional angiography", Radiology, 233(3), 741-9.
4. Bộ Y tế (2013), "Hướng dẫn Quy trình kỹ thuật Chẩn đoán hình ảnh và điện quang can thiệp", 859-862.
5. Remy J., Voisin C., Dupuis C. et al. (1974), "Treatment of hemoptysis by embolization of the systemic circulation", Ann Radiol (Paris), 17(1), 5-16.
6. Li P. J., Yu H., Wang Y. et al. (2019), "Multidetector computed tomography angiography prior to bronchial artery embolization helps detect culprit ectopic bronchial arteries and non-bronchial systemic arteries originating from subclavian and internal mammary arteries and improve hemoptysis-free early survival rate in patients with hemoptysis", Eur Radiol, 29(4), 1950-1958.
7. Bhalla A., Kandasamy D., Veedu P. et al. (2015), "A retrospective analysis of 334 cases of hemoptysis treated by bronchial artery embolization", Oman Med J, 30(2), 119-28.
8. Gupta M., Srivastava D. N., Seith A. et al. (2013), "Clinical impact of multidetector row computed tomography before bronchial artery embolization in patients with hemoptysis: a prospective study", Can Assoc Radiol J, 64(1), 61-73.