{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T14:19:48Z","timestamp":1766067588980,"version":"3.41.0"},"reference-count":22,"publisher":"Scientific Scholar","issue":"3&4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"\n Background & objectives:<\/jats:title>\n 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<\/jats:italic>) 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<\/jats:italic>) to analyze the patterns of abnormal vascular supply in the various aetiologies encountered.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>\n \n Interpretation & conclusions:<\/jats:title>\n 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 CHD.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijmr.ijmr_3271_20","type":"journal-article","created":{"date-parts":[[2022,9,18]],"date-time":"2022-09-18T15:36:22Z","timestamp":1663515382000},"page":"356-363","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Role of computed tomography angiography in the evaluation of haemoptysis in children: Decoding the abnormal vessels"],"prefix":"10.25259","volume":"155","author":[{"given":"Tahleel Altaf","family":"Shera","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashu Seith","family":"Bhalla","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priyanka","family":"Naranje","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pankaj","family":"Meena","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sushil K.","family":"Kabra","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arun Kumar","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devasenathipathy","family":"Kandasamy","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","reference":[{"key":"B1-20241212","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.chest.2019.07.012","article-title":"Managing massive hemoptysis","volume":"157","author":"Davidson","year":"2020","journal-title":"Chest"},{"key":"B2-20241212","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.prrv.2007.12.003","article-title":"Haemoptysis and bronchial artery embolization in children","volume":"9","author":"Roebuck","year":"2008","journal-title":"Paediatr Respir Rev"},{"key":"B3-20241212","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1002\/ppul.23497","article-title":"Etiologies of hemoptysis in 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