World Journal of Emergency Medicine ›› 2025, Vol. 16 ›› Issue (3): 197-205.doi: 10.5847/wjem.j.1920-8642.2025.041
• Consensus Statement • Next Articles
Jianfei Tu1, Zhongzhi Jia2, Binyan Zhong3, Bin Shen4, Guodong Zhang5, Dengke Zhang1, Haipeng Yu6, Yiping Chen7, Xi Liu8, Liming Wang9, Gaojun Teng10,11,12,13,14(
), Sen Jiang15(), Jiansong Ji1,16(), Clinical Guidelines Committee of Chinese College of Interventionalists
Received:2024-11-29
Accepted:2025-03-06
Online:2025-05-19
Published:2025-05-01
Contact:
Gaojun Teng, Email: Jianfei Tu, Zhongzhi Jia, Binyan Zhong, Bin Shen, Guodong Zhang, Dengke Zhang, Haipeng Yu, Yiping Chen, Xi Liu, Liming Wang, Gaojun Teng, Sen Jiang, Jiansong Ji, Clinical Guidelines Committee of Chinese College of Interventionalists. Bronchial artery embolization for hemoptysis: a consensus statement by the Chinese College of Interventionalists[J]. World Journal of Emergency Medicine, 2025, 16(3): 197-205.
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URL: http://wjem.com.cn/EN/10.5847/wjem.j.1920-8642.2025.041
Table 1.
Positive findings identified through enhanced CT/CTA[26,33 -35]
| Culprit lesion signs | Culprit vessel signs | |
|---|---|---|
| Bronchiectasis | Vascular hypertrophy, dilatation, and parenchymal hypervascularity | |
| Tumor | Systemic-to-pulmonary artery shunt | |
| Infections | Aneurysm (pseudo/true) | |
| Centrilobular nodules (including tree-in-bud sign) | Aorto-bronchial fistula | |
| Ground-glass opacity | Vascular malformation | |
| Pulmonary consolidation | Aortic aneurysm/dissection | |
| Interlobular septal thickening (In the subacute phase) | Pleural thickening (possibly with penetrating vessels) | |
| Broncholithiasis | Extravasation of contrast media |
Figure 1.
Illustration of bronchial artery (BA) variations and non-bronchial systemic arteries (NBSAs). Panel (A) depicts the variations in the BA: (a) intercostobronchial trunk of right BA or right BA; (b) left BA or common trunk of left and right BA; (c) originating from the distal descending thoracic aorta; (d) originating from the proper esophageal artery; (e) originating from the left gastric artery; (f) originating from the internal thoracic artery; (g) originating from the subclavian artery; (h) originating from the vertebral artery; (i) originating from the carotid artery; (j) originating from the undersurface of the aortic arch; (k) originating from the superior wall of the aortic arch; (l) originating from the brachiocephalic trunk; (m) originating from the thyrocervical trunk; (n) originating from the costocervical trunk; and (o) originating from the coronary arteries. Panel (B) shows the NBSAs: (a) intercostal artery; (b) proper esophageal artery; (c) hepatic artery; (d) inferior phrenic artery; (e) left gastric artery; (f) internal thoracic artery; (g) thyrocervical trunk; (h) costocervical trunk; (i) superior thoracic artery; (j) lateral thoracic artery; and (k) subscapular artery.
Figure 2.
Diagnostic and therapeutic framework for hemoptysis management (positive findings from contrast-enhanced CT/CTA are detailed in Table 1). BAE: bronchial artery embolization; NBSA: non-bronchial systemic artery; DSA: digital subtraction angiography; MDT: multidisciplinary treatment; CT: computed tomography; CTA: computed tomography angiography.
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