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      Morphological Analysis of Bronchial Arteries and Variants with Computed Tomography Angiography

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          Abstract

          The aim of our study was to determine the prevalence of anatomical variants of bronchial arteries using computed tomographic angiography in a population of northeastern Mexico. An observational, transversal, descriptive, comparative, retrospective study was performed using 139 imaging studies of Mexican patients in which we evaluated the following parameters from the left and right bronchial arteries: artery origin, branching pattern, arterial ostium, vertebral level of origin, diameter, and mediastinal trajectory. The anatomies of the bronchial arteries were similar in both genders, except distribution for vertebral origin level ( p  0.006) and the diameter ( p  0.013). Left and right arteries were similar, except for the mediastinal trajectory in reference to the esophagus ( p < 0.001) as well as the arterial diameter ( p < 0.001) and lumen diameter.

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          Most cited references32

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          The pulmonary physician in critical care * Illustrative case 7: Assessment and management of massive haemoptysis.

          J Lordan (2003)
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            Bronchial artery embolization for hemoptysis.

            Bronchial artery angiography with embolization has become a mainstay in the treatment of hemoptysis. Major complications are rare and immediate clinical success defined as cessation of hemorrhage ranges in most series from 85% to 100%, although recurrence of hemorrhage ranges from 10% to 33%. Bronchial artery embolization offers a minimally invasive procedure for even the most compromised patient serving as first-line treatment for hemorrhage as well as providing a bridge to more definitive medical or surgical intervention focused upon the etiology of the hemorrhage. The aim of this article is to summarize the etiologies, pathophysiology, and the diagnostic and management strategies of hemoptysis as related to bronchial artery embolization. In addition, the techniques of arteriography and embolization as well as associated procedural outcomes and complications are delineated.
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              Bronchial artery embolization to control hemoptysis: comparison of N-butyl-2-cyanoacrylate and polyvinyl alcohol particles.

              To retrospectively compare safety and effectiveness of embolic agents polyvinyl alcohol (PVA) particles versus n-butyl-2-cyanoacrylate (NBCA) for bronchial artery embolization (BAE) for control of hemoptysis.
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                Author and article information

                Journal
                Biomed Res Int
                Biomed Res Int
                BMRI
                BioMed Research International
                Hindawi
                2314-6133
                2314-6141
                2017
                4 July 2017
                : 2017
                : 9785896
                Affiliations
                1Facultad de Medicina, Human Anatomy Department, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico
                2Hospital Universitario “Dr. José Eleuterio González”, Radiology and Imaging Division, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico
                Author notes
                *Rodrigo Enrique Elizondo-Omaña: rod_omana@ 123456yahoo.com

                Academic Editor: Giuseppe Rubini

                Author information
                http://orcid.org/0000-0002-8017-2640
                Article
                10.1155/2017/9785896
                5514344
                28744471
                501b64c9-b08b-458e-8d46-5e7857a4c214
                Copyright © 2017 Claudia Nallely Esparza-Hernández et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 19 January 2017
                : 17 April 2017
                : 1 June 2017
                Categories
                Research Article

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