Pulmonary Angiography and Embolization for Severe Hemoptysis Due to Cavitary Pulmonary Tuberculosis

Journal Article · Mon Nov 15 04:00:00 EST 1999 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900432· OSTI ID:21080257

Sanyika, Charles; Corr, Peter; Royston, Duncan ^[1]; Blyth, David F ^[2]

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1. Department of Radiology, University of Natal, Faculty of Medicine, Private Bag 7, Congella 4013, Kwazulu Natal (South Africa)
2. Department of Cardiothoracic Surgery, University of Natal, Faculty of Medicine, Congella 4013, Kwazulu Natal (South Africa)

Purpose: To identify the role of pulmonary angiography in the diagnosis and treatment of severe hemoptysis due to cavitary pulmonary tuberculosis. Methods: Selective pulmonary angiography was performed on eight patients with severe hemoptysis uncontrolled by previous bronchial and systemic arterial embolization. Results: Three (38%) patients had Rasmussen aneurysms, which were successfully embolized with steel coils. Five patients demonstrated pulmonary arterial hypoperfusion in the diseased lung. Conclusions: We recommend pulmonary angiography in cavitary tuberculous patients with severe hemoptysis who do not respond to systemic arterial embolization. Rasmussen aneurysms are effectively treated by steel coil occlusion.

• OSTI ID: 21080257
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 6 Vol. 22; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
DIAGNOSIS
LUNGS
PATIENTS
STEELS
TUBERCULOSIS
VASCULAR DISEASES