Utility of multidetector row computed tomography in the management of hemoptysis: An experience from Upper Egypt

Background: We aimed to report our experience with the use of multidetector row computed tomography (MDCT), with angiography in the evaluation of patients with hemoptysis. Methods: A prospective study was carried out on 52 patients suffering from hemoptysis, from May 2011 to August 2014. They underwent MDCT using a 16-detector row scanner with bronchial and pulmonary angiographic techniques. Results: MDCT identified the cause of hemoptysis in 92% of patients. MDCT angiography was able to detect the site and vascular source of bleeding in 85% of patients. A total of 92 bronchial arteries were detected in 65% of patients; 29 of these arteries (31%) were abnormally dilated. Conclusion: Our results confirm 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 identification of abnormal vasculature and provides a precise road map which can be used to guide therapeutic arterial embolization. (C) 2015 The Authors. Production and hosting by Elsevier B.V. on behalf of The Egyptian Society of Chest Diseases and Tuberculosis.