Multidetector CT Angiography Role in Evaluation of Vascular Causes of Hemoptysis

Abstract

AbstractBackground: Hemoptysis has many vascular and paren-chymal causes. Determining the site and the cause of the bleeding is of great value in planning the proper management.Aim of Study: Is to evaluate the role of Multidetector Computerized Tomography (MDCT) in detection and local-izing the site and causes of hemoptysis of vascular origin.Material and Methods: Prospective study included 50 patients suffering from hemoptysis, referred to the Department of Radiology, Amiri Hospital, Kuwait during the period from April 2016 until April 2018. MDCT pulmonary and bronchial angiography was done for all patient as well as bronchoscopy, conventional angiography and biopsy were done for some cases.Results: MDCT angiography was successful in determining the cause of hemoptysis in 88% of cases. Vsacular causes of hemoptysis included bronchial, systemic non bronchial and pulmonary arteries.Conclusion: MDCT pulmonary and bronchial angiography is a very valuable technique in determining and the source and causes of hemoptysis and planning of management.