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Journal of Radiological Review 2020 July-August;7(4):292-9

DOI: 10.23736/S2723-9284.20.00039-6

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

The various “faces” of hemoptysis: endovascular therapy

Milena COPPOLA 1 , Antonio BORZELLI 1, Francesco PANE 1, Luciano MONTELLA 2, Francesco GIURAZZA 1, Raffaella NIOLA 1

1 Unit of Vascular and Interventional Radiology, AORN A. Cardarelli, Naples, Italy; 2 Unit of Interventional Pneumology, AORN A. Cardarelli, Naples, Italy


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Hemoptysis is the non-specific symptom of a potentially life-threatening condition and is defined as a bleeding that originates from the lower respiratory tract. It could be potentially due to different thoracic diseases and it requires urgent and comprehensive evaluation of lung parenchyma, airways, and thoracic vasculature. Imaging, especially multidetector computed tomography angiography, plays a major role in this context, allowing the identification of a possible cause for the bleeding and aiding to plan the best therapy for patients. Angiography, instead, is useful both to obtain a detailed vascular map of eventually involved vessels and to treat them through endovascular embolization. The advantages of endovascular approach over the surgical one, are that it is effective and minimally invasive, with lower morbidity and complications for patients. In this paper, we review the pathophysiologic features and causes of hemoptysis, highlighting the role of imaging and interventional radiology for diagnosis and treatment of some of its causes, such as ectatic bronchial arteries, vascular malformations, pulmonary arterio-venous malformations and lung sequestrations.


KEY WORDS: Hemoptysis; Bronchopulmonary sequestration; Embolization, therapeutic

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