MULTI-DETECTOR CT IMAGING OF BRONCHIAL & NON-BRONCHIAL SYSTEMIC ARTERIES
Adalet Elcin Yigit1, Orhan Macit Ariyürek1, Erhan Akpınar1, Bora Peynircioglu1, Barboros Erhan Cil1
1Hacettepe University, Radiology, Ankara, Turkey
Our aim is to presentN the usefulness of multi-detector row computed tomographic (MDCT) angiography for depiction of bronchial and non-bronchial systemic arteries (NBSAs) which may be seen enlarged secondary to wide array of chronic lung diseases and the diseases affecting the pulmonary vascular system. MDCT angiography enabled radiologists to provide thin slice axial images and multiplanar reconstructions, interactive maximum intensity projections and volume rendered images for the evaluation of the origin and course of the abnormal bronchial arteries and enlarged NBSAs that may be the cause of hemoptysis. Embolization of the bronchial arteries is the primary treatment option in patients with massive hemoptysis. Precise localization of the bleeding vessel/s prior to catheter arteriography is not only the most important factor for prompt and successful embolization but also prevents the recurrence of hemoptysis from missed NBSAs during the procedure.