Role of computed tomography angiography in the evaluation of haemoptysis in children: Decoding the abnormal vessels

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dc.contributor.authorShera, Tahleel Altafen_US
dc.contributor.authorBhalla, Ashu Seithen_US
dc.contributor.authorNaranje, Priyankaen_US
dc.contributor.authorMeena, Pankajen_US
dc.contributor.authorKabra, Sushil K.en_US
dc.contributor.authorGupta, Arun Kumaren_US
dc.contributor.authorKandasamy, Devasenathipathyen_US
dc.date.accessioned2023-08-19T04:52:09Z
dc.date.available2023-08-19T04:52:09Z
dc.date.issued2022-04
dc.description.abstractBackground & objectives: Haemoptysis in children is potentially life-threatening. In most cases, the bleeding arises from the systemic circulation, and in 5-10 per cent of cases, it arises from the pulmonary circulation. The role of computed tomography angiography (CTA) in this setting is important. This study was undertaken (i) to study the role of single-phase split-bolus dual energy contrast-enhanced multidetector row CTA (DECTA) in the evaluation of haemoptysis in children; (ii) to analyze the patterns of abnormal vascular supply in the various aetiologies encountered. Methods: A retrospective study of 86 patients who underwent split bolus DECTA for the evaluation of haemoptysis was performed. Final diagnoses were categorized as normal computed tomography, active tuberculosis (TB), post-infectious sequelae, non-TB active infection, cystic fibrosis (CF), non-CF bronchiectasis, congenital heart disease (CHD), interstitial lung disease, vasculitis, pulmonary thromboembolism and idiopathic pulmonary haemosiderosis. Abnormal bronchial arteries (BAs) and non-bronchial systemic collateral arteries (NBSCs) were assessed for number and site and their correlation with underlying aetiologies. Results: A total of 86 patients (45 males, age from 0.3 to 18 yr, mean 13.88 yr) were included in the study; among these only two patients were less than five years of age. The most common cause of haemoptysis was active infection (n=30), followed by bronchiectasis (n=18), post-infectious sequelae (n=17) and CHD (n=7). One hundred and sixty five abnormal arteries were identified (108 BA and 57 NBSC), and were more marked in bronchiectasis group. Interpretation & conclusions: Active infections and bronchiectasis are the most common causes of haemoptysis in children. While post-infectious sequelae are less common, in patients with haemoptysis, the presence of any abnormal arteries correlates with a more frequent diagnosis of bronchiectasis. NBSCs are more common in post-infectious sequelae and CHDen_US
dc.identifier.affiliationsDepartments ofen_US
dc.identifier.affiliationsRadiodiagnosis and Interventional Radiology &en_US
dc.identifier.affiliationsPediatrics, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.citationShera Tahleel Altaf, Bhalla Ashu Seith, Naranje Priyanka, Meena Pankaj, Kabra Sushil K., Gupta Arun Kumar, Kandasamy Devasenathipathy. Role of computed tomography angiography in the evaluation of haemoptysis in children: Decoding the abnormal vessels. Indian Journal of Medical Research. 2022 Apr; 155(3-4): 356–363en_US
dc.identifier.issn0971-5916
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/223604
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber3-4en_US
dc.relation.volume155en_US
dc.source.urihttps://doi.org/10.4103/ijmr.IJMR_3271_20en_US
dc.subjectBronchial arteryen_US
dc.subjectbronchiectasisen_US
dc.subjectcomputed tomography angiographyen_US
dc.subjecthaemoptysisen_US
dc.subjectpaediatricen_US
dc.subjecttuberculosisen_US
dc.titleRole of computed tomography angiography in the evaluation of haemoptysis in children: Decoding the abnormal vesselsen_US
dc.typeJournal Articleen_US
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