ROLE OF MULTIDETECTOR ROW COMPUTED TOMOGRAPHY ANGIOGRAPHY IN IDENTIFICATION OF THE VASCULAR SOURCE OF BLEEDING IN THE PATIENTS WITH HEMOPTYSIS

Abstract

We aimed to report our experience with the use of multidetector row computed tomography (MDCT), with angiography in the evaluation of patients with hemoptysis. Role of multidetector row computed tomography angiography in OBJECTIVE: identication of the vascular source of bleeding in the patients with hemoptysis. A prospective study was carried out on 50 patients METHODS: suffering from hemoptysis. They underwent MDCT using a 128-detector row scanner with bronchial and pulmonary angiographic techniques. MDCT identied the RESULTS: cause of hemoptysis in 92% of patients. MDCT angiography was able to detect the site and vascular source of bleeding in 86% of patients. A total of 86 bronchial arteries were detected in 76% of patients; 33% of these arteries (40.74%) were abnormally dilated. Our results CONCLUSION: conrm that MDCT angiography is a useful method to identify and depict the bronchial arteries and to predict the presence of nonbronchial systemic vessels that supply a parenchymal lesion. MDCT angiography allows a rapid and detailed identication of abnormal vasculature and provides a precise road map which can be used to guide therapeutic arterial embolization.