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Pulmonary angiography and embolization for severe hemoptysis due to cavitary pulmonary tuberculosis

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Abstract

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.

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Authors and Affiliations

  1. Department of Radiology, University of Natal, Faculty of Medicine, Congella, 4013, Private Bag 7, Kwazulu Natal, South Africa

    Charles Sanyika, Peter Corr M.D. & Duncan Royston

  2. Department of Cardiothoracic Surgery, University of Natal, Faculty of Medicine, Congella, 4013, Kwazulu Natal, South Africa

    David F. Blyth

Authors
  1. Charles Sanyika
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  2. Peter Corr M.D.
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  3. Duncan Royston
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  4. David F. Blyth
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Sanyika, C., Corr, P., Royston, D. et al. Pulmonary angiography and embolization for severe hemoptysis due to cavitary pulmonary tuberculosis. Cardiovasc Intervent Radiol 22, 457–460 (1999). https://doi.org/10.1007/s002709900432

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  • DOI: https://doi.org/10.1007/s002709900432

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