Journal article
Anomalous Vascular Supply of Bronchial Circulation in Cystic Fibrosis Patients with Massive Hemoptysis
Current respiratory medicine reviews, v 9(6), pp 402-406
01 Jan 2013
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Hemoptysis occurs commonly in patients with Cystic Fibrosis, and massive bleeding requiring emergent intervention occurs in a subset. Bronchial artery embolization (BAE) is recommended in clinically unstable CF patients with massive hemoptysis (MH); however, no consensus exists regarding selective versus extensive embolization, and recommendations of targets are scant.
Objective: We sought to characterize the frequency of abnormal bronchial circulation in MH in CF in order to suggest interventional approach for BAE.
Methods: A retrospective chart review of BAE for MH was performed. Characterization of angiography was described, and CF and non-CF patients were compared.
Results: 10 CF and 7 non-CF patients with MH were identified. Dilated, tortuous bronchial vessels were ubiquitous in CF, and 70% had non-bronchial collaterals. CF patients required more extensive BAE and 50% had >1 collateral. Anomalous supplies were described, and a correlation between the volume of hemoptysis and number of collaterals was determined.
Conclusion: Anomalous bronchial arteries origin and supply should be suspected in CF. Angiographic approach in CF should include arch aortograms to demonstrate entire supply of the bronchial arterial field.
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Details
- Title
- Anomalous Vascular Supply of Bronchial Circulation in Cystic Fibrosis Patients with Massive Hemoptysis
- Creators
- Rebanta Chakraborty - Drexel Univ, Coll Med, Div Pulm Crit Care & Sleep Med, Dept Med, Philadelphia, PA 19102 USAAlexander E. Trebelev - Med Coll Penn & Hahnemann Univ, Dept Intervent Radiol, Philadelphia, PA USABrian Bianco - Med Coll Penn & Hahnemann Univ, Dept Intervent Radiol, Philadelphia, PA USAWilliam O'Connell - Med Coll Penn & Hahnemann Univ, Dept Intervent Radiol, Philadelphia, PA USAMichael J. Stephen - Drexel UniversityJeffrey B. Hoag - Drexel Univ, Coll Med, Div Pulm Crit Care & Sleep Med, Dept Med, Philadelphia, PA 19102 USA
- Publication Details
- Current respiratory medicine reviews, v 9(6), pp 402-406
- Publisher
- Bentham Science Publ Ltd
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Radiology (Radiologic Sciences); Pulmonary, Critical Care, and Sleep (Medicine)
- Web of Science ID
- WOS:000212712600009
- Scopus ID
- 2-s2.0-84904768579
- Other Identifier
- 991019169800104721
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- Web of Science research areas
- Respiratory System