title: Severe hemoptysis: From diagnosis to embolization.
abstract: Severe hemoptysis is life-threatening to patients because of the asphyxia it causes. The diagnosis and treatment are therefore urgent and chest imaging is essential. Multidetector CT-angiography provides an exhaustive non-invasive assessment which includes localization, mechanisms, causes and severity of the hemoptysis. It is an invaluable step in preparation for endovascular treatment which is the first line invasive therapy, particularly with bronchial arteriography embolization in the majority of cases (over 90%) and erosion or rupture of the pulmonary artery in less than 10% of cases. Hemoptysis control is achieved in 65 to 92% of cases depending on the cause.
authors.affiliation: Department of radiology, Tenon Hospital, 75020 Paris, France; Department of radiology, Bichat Hospital, 46, rue Henri Huchard, 75018 Paris, France; Paris VII University, 75205 Paris cedex 13, France. Electronic address: antoine_khalil@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Khalil
authors.affiliation: Department of radiology, Tenon Hospital, 75020 Paris, France; Paris VI University, 75252 Paris cedex 05, France.
authors.forename: B
authors.initials: B
authors.lastname: Fedida
authors.affiliation: Department of Intensive Care, Tenon Hospital, 75020 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Parrot
authors.affiliation: Department of radiology, Tenon Hospital, 75020 Paris, France; Paris VI University, 75252 Paris cedex 05, France.
authors.forename: S
authors.initials: S
authors.lastname: Haddad
authors.affiliation: Department of Intensive Care, Tenon Hospital, 75020 Paris, France; Paris VI University, 75252 Paris cedex 05, France.
authors.forename: M
authors.initials: M
authors.lastname: Fartoukh
authors.affiliation: Department of radiology, Tenon Hospital, 75020 Paris, France; Paris VI University, 75252 Paris cedex 05, France.
authors.forename: M-F
authors.initials: MF
authors.lastname: Carette
mesh_terms: D000328:Adult; D000465:Algorithms; D017541:Aneurysm, False / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D000792:Angiography; D001980:Bronchi / Q000098:blood supply; D001987:Bronchiectasis / Q000150:complications / Q000175:diagnosis; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic / Q000379:methods*; D004632:Emergency Medical Services; D005260:Female; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography; D011651:Pulmonary Artery
keywords: CT angiography; Embolization; Hemoptysis; Interventional radiology; Lung