Selective bronchial arteriography was consequently performed and it showed tortuous, dilated, and elongated branches of the bronchial artery in the region of the right lower lobe bronchus [Figure 1]d.
Selective bronchial arteriography and CTA can reveal dilated bronchial arteries, abnormal arteries, vascular shunts, fistulae, and extravasation of contrast into the lungs, which can be helpful in making the diagnosis and ruling out other causes of hemoptysis. If lesions of the bronchial arteries fail to show up, pulmonary arteriography would be essential.
Methods: A retrospective analysis of 344 cases, who underwent bronchial arteriography at Tianjin Haihe Hospital between 2006 and 2013.
This study was a retrospective analysis of 344 cases, who underwent bronchial arteriography at Tianjin Haihe Hospital between 2006 and 2013.
Bronchial arteriography was performed in all patients.
According to the chest CT scanning and Bronchial arteriography, we concluded the etiologies of the hemoptysis in 344 cases: Tuberculosis in 190 patients (55.2%), bronchiectasis in 99 patients (28.8%), malignancy in 20 patients (5.8%), undefined in 18 patients (5.2%), pneumonia in six patients (1.8%), deformity of bronchial artery in six patients (1.8%), bronchial artery aneurysm in one patients (0.2%), other pulmonary disease in four patients (1.2%).
In our study, bronchial arteriography and embolization were well-tolerated by all patients.
The bronchial arteriography showed that more right intercostal arteries combining with bronchial artery than left.
Significant hemoptysis, chronic and recurrent hemoptysis were the indications for bronchial arteriography. Our result showed that tuberculosis (55.2%), bronchiectasis (28.8%), malignancy (5.8%), undefined (5.2%), pneumonia (1.8%), deformity of bronchial artery (1.8%), bronchial artery aneurysm (0.2%), other pulmonary disease (1.2%).