Viamonte Jr., Manuel; Martinez, Luis O.
May 1967
Angiology;May1967, Vol. 18 Issue 5, p323
Academic Journal
Selective bronchia] arteriography is the newest technique for the study of non-malignant and malignant pulmonary and mediastinal pathological conditions. We consider benign those lesions that show several of the following: markedly enlarged bronchial arteries, extensive broncho-pulmonary anastomosis, and normal branching appearance, gradual tapering and uniform distribution of smaller branches of the bronchial artery. Pleomorphism and altered dynamics arc, in contrast, features of malignant hypervascularity. Selective bronchial arteriography, in general, should be of value in: (1) study of non-calcified pulmonary nodules; (2) recognition of disease in areas of lung apparently not involved (by conventional roentgenography and laminography); (3) detection of unsuspected mediastinal adenopathies; (4) presurgical evaluation of patients with bilateral bronchiectasis (to determine which are the most affected areas); (5) study of bronchogenic carcinomas, clinically inoperable, to assist in their treatment (by the use of selective arterial chemotherapy); (6) following pulmonary artery occlusion, to determine the degree of compensatory circulation; (7) patients with unresolved pneumonia, to try to distinguish between a benign and malignant process; and, finally (8) experimental and physiologic studios. The real values of this technique will be established only when more experience is accumulated.


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