The Diagnostic Value of Bronchial Arteriography for Hemoptysis

• Akusawa Hiroshi

  First Department of Internal Medicine, Nihon University School of Medicine

• Takahashi Noriaki

  First Department of Internal Medicine, Nihon University School of Medicine

• Maehara Mizuho

  First Department of Internal Medicine, Nihon University School of Medicine

• Shimizu Tetsuo

  First Department of Internal Medicine, Nihon University School of Medicine

• Yamaguchi Miki

  First Department of Internal Medicine, Nihon University School of Medicine

• Hujie Toshio

  First Department of Internal Medicine, Nihon University School of Medicine

• Ohchi Yasushi

  First Department of Internal Medicine, Nihon University School of Medicine

• Horie Takashi

  First Department of Internal Medicine, Nihon University School of Medicine

Bibliographic Information

Other Title

• 喀血症例に対する気管支動脈造影(BAG)の有用性について

Abstract

Purpose. The purpose of this study was to evaluate the diagnostic value of bronchial arteriography for determination of the bleeding sites in patients with hemoptysis. Methods. Forty-nine patients (30 men and 19 women) with hemoptysis were examined by bronchofiberscopy and bronchial arteriography. All patients underwent bronchofiberscopy within 48 hr of active bleeding to determine the bleeding sites. Bronchial arteriography was also done in all patients. Bronchiectasis, tuberculosis, aspergillosis and lung cancer caused hemoptysis in these patients. The correlation between those findings and the bleeding sites was evaluated. Results. The angiographic signs were extravasation (11.1%), hypervascularization (97.7%), broncho-pulmonary shunts (51.1%), and aneurysms (11.1%), which tended to occur in the upper lobe bronchi. The sites of these signs were similar to the bleeding sites determined by bronchofiberscopy. Conclusion. We suggested that bronchial arteriography is valuable for the determination of the bleeding sites of patients with hemoptysis.

Journal

• The Journal of the Japan Society for Respiratory Endoscopy

  The Journal of the Japan Society for Respiratory Endoscopy 24 (2), 75-79, 2002

  The Japan Society for Respiratory Endoscopy

Keywords

• Hemoptysis
• Bronchial arteriography (BAG)
• Bronchofiberscopy

Details

• CRID: 1390001204749933184
• NII Article ID: 110002813417
• NII Book ID: AN00357687
• DOI: 10.18907/jjsre.24.2_75
• ISSN: 21860149
• ISSN: 02872137
• Web Site: https://search.jamas.or.jp/link/ui/2002168942
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed