European Journal of Molecular & Clinical Medicine

Abstract

Hemoptysis is the expectoration of blood that originates from the lower respiratory tract. Itis
usually a self-limiting event but in fewer than 5% of cases it may be massive,
representingalifethreateningconditionthatwarrantsurgentinvestigationsandtreatment.
Multidetectorcomputed
tomography (MDCT) angiography is a useful examination to detect the source
ofthebleedinginpatientswithhemoptysis.
TheaimofthestudywastostudytheroleofMDCTaortograminevaluationofpatientswithmild,moder
ateorseverehemoptysis.
Methods:Thestudypopulation included 41patients presenting
withhemoptysiswhounderwentMDCTaortogramintheregionofthoraxafterapplyingtheinclusion
andexclusioncriteria. The criteria’s such as clinical presentation, analysis of lung findings on
MDCT chestaortogram, analysis of vasculature on MDCT chest aortogram, correlation of
MDCT findingswith conventional angiography /DSA in patients who underwent
endovascular procedures,correlationofMDCTfindingswithbronchoscopic
findingsinpatientswhounderwentbronchoscopy,andfinallyandCorrelationofMDCTfindingswit
hclinicalcourseofthepatientwereanalyzed.
Results:A total of 41 patients who presented with mild, moderate and severe hemoptysiswere
analyzed using MDCT aortogram. Based on the findings on MDCT aortogram and
theseverityofhemoptysis,thepatientsweretakenupforendovascular intervention
formanagementofhemoptysisandthefindingsinconventionalangiographywascorrelatedwithMD
CTangiography.