Added Benefit of Thoracic Aortography After Transarterial Embolization in Patients with Hemoptysis
Ho Jong Chun1,
Jae Young Byun1,
Seung-Schik Yoo2 and
Byung Gil Choi1
1 Department of Radiology, Kangnam St. Mary's Hospital, College of Medicine, The
Catholic University of Korea, 505 Banpo-Dong, Seocho-Ku, Seoul 137-040,
Korea.
2 Present address: Department of Radiology, Brigham and Women's Hospital,
Harvard Medical School, 75 Francis St., Boston, MA 02115.

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Fig. 1A. 53-year-old man with pulmonary tuberculosis. Bronchial
arteriogram shows left bronchial artery to be hypertrophied with abnormal
parenchymal stain (arrows) in left upper lobe.
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Fig. 1B. 53-year-old man with pulmonary tuberculosis. After
embolization of left bronchial artery using Gelfoam ([gelatin sponge
particles], Pharmacia and Upjohn, Kalamazoo, MI) and microcoils, thoracic
aortogram shows no remaining opacification of left bronchial artery or
abnormal parenchymal stain in left upper lobe.
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Fig. 1C. 53-year-old man with pulmonary tuberculosis. Late phase
thoracic aortogram shows 5-French pigtail catheter (arrow) (Pig,
Cook, Bloomington, IN) located distal to origin of left subclavian artery.
Note microcoils (arrowhead) (Tornado, Cook) from initial
embolization.
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Fig. 2A. 35-year-old man with pulmonary tuberculosis. Bronchial
arteriogram shows left bronchial artery to be hypertrophied along with
abnormal parenchymal stain and systemic pulmonary shunt (arrow) in
left upper lobe. Left bronchial artery was selected and embolized with
polyvinyl alcohol particles (Contour, Boston Scientific, Cork, Ireland).
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Fig. 2B. 35-year-old man with pulmonary tuberculosis. Postembolization
aortogram shows abnormal hypervascular stain (arrows) in left
perihilar lung.
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Fig. 2C. 35-year-old man with pulmonary tuberculosis. After additional
left bronchial artery was selected with 5-French bronchial catheter
(Bronchial, Jungsung, Seoul, Korea), selective arteriogram shows tortuous
hypertrophy with parenchymal stain.
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Fig. 3A. 57-year-old woman with pulmonary tuberculosis and cystic
bronchiectasis. After embolization of both bronchial arteries, thoracic
aortogram shows hypertrophy with suspicious parenchymal stains
(arrows) involving left highest and fifth intercostal arteries and
inferior phrenic arteries.
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Fig. 3B. 57-year-old woman with pulmonary tuberculosis and cystic
bronchiectasis. Selective arteriograms show tortuous hypertrophy of left
highest (arrow, B) and fifth intercostal arteries
(arrow, C) and inferior phrenic arteries (arrow,
D) associated with parenchymal stains and arteriovenous shunts.
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Fig. 3C. 57-year-old woman with pulmonary tuberculosis and cystic
bronchiectasis. Selective arteriograms show tortuous hypertrophy of left
highest (arrow, B) and fifth intercostal arteries
(arrow, C) and inferior phrenic arteries (arrow,
D) associated with parenchymal stains and arteriovenous shunts.
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Fig. 3D. 57-year-old woman with pulmonary tuberculosis and cystic
bronchiectasis. Selective arteriograms show tortuous hypertrophy of left
highest (arrow, B) and fifth intercostal arteries
(arrow, C) and inferior phrenic arteries (arrow,
D) associated with parenchymal stains and arteriovenous shunts.
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Copyright © 2003 by the American Roentgen Ray Society.