Severe hemoptysis: From diagnosis to embolization

被引：53

作者：

Khalil, A. ^{[1
,2
,3
]}

Fedida, B. ^{[1
,5
]}

Parrot, A. ^{[4
]}

Haddad, S. ^{[1
,5
]}

Fartoukh, M. ^{[4
,5
]}

Carette, M-F ^{[1
,5
]}

机构：

[1] Tenon Hosp, Dept Radiol, F-75020 Paris, France

[2] Hop Xavier Bichat, Dept Radiol, F-75018 Paris, France

[3] Univ Paris 07, F-75205 Paris 13, France

[4] Tenon Hosp, Dept Intens Care, F-75020 Paris, France

[5] Univ Paris 06, F-75252 Paris 05, France

来源：

DIAGNOSTIC AND INTERVENTIONAL IMAGING | 2015年 / 96卷 / 7-8期

关键词：

Lung; Hemoptysis; Interventional radiology; Embolization; CT angiography; BRONCHIAL ARTERY EMBOLIZATION; NONBRONCHIAL SYSTEMIC ARTERIES; LIFE-THREATENING HEMOPTYSIS; INTENSIVE-CARE-UNIT; ROW CT ANGIOGRAPHY; MASSIVE HEMOPTYSIS; EMERGENCY MANAGEMENT; CHEST CT; BRONCHOSCOPY; PREDICTION;

D O I：

10.1016/j.diii.2015.06.007

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Severe hemoptysis is life-threatening to patients because of the asphyxia it causes. The diagnosis and treatment are therefore urgent and chest imaging is essential. Multidetector CT-angiography provides an exhaustive non-invasive assessment which includes localization, mechanisms, causes and severity of the hemoptysis. It is an invaluable step in preparation for endovascular treatment which is the first line invasive therapy, particularly with bronchial arteriography embolization in the majority of cases (over 90%) and erosion or rupture of the pulmonary artery in less than 10% of cases. Hemoptysis control is achieved in 65 to 92% of cases depending on the cause. (C) 2015 Editions francaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

引用

页码：775 / 788

页数：14

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