| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Radiology, Vol 200, 691-694, Copyright © 1996 by Radiological Society of North America
ARTICLES |
R Ramakantan, VG Bandekar, MS Gandhi, BG Aulakh and HL Deshmukh
Department of Radiology, King Edward Memorial Hospital, Parel, Bombay, India.
PURPOSE: To determine the efficacy of bronchial artery embolization in the control of massive hemoptysis due to pulmonary tuberculosis. MATERIALS AND METHODS: Between 1988 and 1994, 140 patients (125 men and 15 women; mean age, 31.5 years) who presented with massive hemoptysis (more than 300 mL of blood in 24 hours) underwent bronchial artery embolization. Fifty-one patients had received no antituberculosis drugs. Bronchial artery embolization was performed on the side with the greater abnormality on the chest radiograph. Catheters (4 F) and a gelatin sponge were used for embolization. Inflammatory hypervascularity was seen in all patients (five patients had contrast material extravasation and 10 patients had pseudoaneurysms). RESULTS: Almost complete control of hemoptysis was achieved in 102 patients. Of the remaining 38 patients with a notable amount of bleeding after the procedure, 29 were treated successfully with conservative measures and nine underwent re-embolization. Seven patients who underwent re- embolization had recurrent bleeding; four of these patients underwent successful surgery, and three died of aspiration. Two patients developed transient paraparesis 6 hours after the procedure. Nine patients reported transient referred pain to the ipsilateral orbit during injection of the gelatin sponge. One patient had transient dysphagia. CONCLUSION: Patients with massive hemoptysis due to pulmonary tuberculosis should first be treated with bronchial artery embolization.
This article has been cited by other articles:
|
|
 |
|
  A Poyanli, B Acunas, I Rozanes, K Guven, S Yilmaz, A Salmaslioglu, E Terzibasioglu, and R Cirpin Endovascular therapy in the management of moderate and massive haemoptysis Br. J. Radiol., May 1, 2007; 80(953): 331 - 336. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. J. Chung, J. H. Lee, K. S. Lee, Y. C. Yoon, O J. Kwon, and T. S. Kim Bronchial and Nonbronchial Systemic Arteries in Patients with Hemoptysis: Depiction on MDCT Angiography. Am. J. Roentgenol., March 1, 2006; 186(3): 649 - 655. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Castaner, X. Gallardo, J. Rimola, Y. Pallardo, J. M. Mata, J. Perendreu, C. Martin, and D. Gil Congenital and acquired pulmonary artery anomalies in the adult: radiologic overview. RadioGraphics, March 1, 2006; 26(2): 349 - 371. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Erdogan, A. Yegin, G. Gurses, and A. Demircan Surgical Management of Tuberculosis-Related Hemoptysis Ann. Thorac. Surg., January 1, 2005; 79(1): 299 - 302. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Ehara, G. L. Hwang, S. D. Moffat, J. D. Mitchell, and A. N. Leung Chronic Expanding Hematoma: Mystery or Misnomer? Am. J. Roentgenol., July 1, 2004; 183(1): 243 - 244. [Full Text] [PDF]
|
|
|
|
 |
|
 W. Yoon, Y. H. Kim, J. K. Kim, Y. C. Kim, J. G. Park, and H. K. Kang Massive Hemoptysis: Prediction of Nonbronchial Systemic Arterial Supply with Chest CT Radiology, April 1, 2003; 227(1): 232 - 238. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. P. Revel, L. S. Fournier, A. S. Hennebicque, C. A. Cuenod, G. Meyer, P. Reynaud, and G. Frija Can CT Replace Bronchoscopy in the Detection of the Site and Cause of Bleeding in Patients with Large or Massive Hemoptysis? Am. J. Roentgenol., November 1, 2002; 179(5): 1217 - 1224. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Yoon, J. K. Kim, Y. H. Kim, T. W. Chung, and H. K. Kang Bronchial and Nonbronchial Systemic Artery Embolization for Life-threatening Hemoptysis: A Comprehensive Review RadioGraphics, November 1, 2002; 22(6): 1395 - 1409. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. L. Swanson, C. M. Johnson, U. B. S. Prakash, M. A. McKusick, J. C. Andrews, and A. W. Stanson Bronchial Artery Embolization : Experience With 54 Patients Chest, March 1, 2002; 121(3): 789 - 795. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. L. Wong, P. Szkup, and M. J. Hopley Percutaneous Embolotherapy for Life-Threatening Hemoptysis Chest, January 1, 2002; 121(1): 95 - 102. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. I. Hsiao, C. M. Kirsch, F. T. Kagawa, J. H. Wehner, W. A. Jensen, and R. B. Baxter Utility of Fiberoptic Bronchoscopy Before Bronchial Artery Embolization for Massive Hemoptysis Am. J. Roentgenol., October 1, 2001; 177(4): 861 - 867. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Y. Kim, K.-S. Song, J. M. Goo, J. S. Lee, K. S. Lee, and T.-H. Lim Thoracic Sequelae and Complications of Tuberculosis RadioGraphics, July 1, 2001; 21(4): 839 - 858. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. S. Katz Invited Commentary RadioGraphics, July 1, 2001; 21(4): 859 - 860. [Full Text] [PDF]
|
|
|
|
|
|
T. Patankar, S. Prasad, H. Deshmukh, and S. K. Mukherji Fatal Hemoptysis Caused by Ruptured Giant Rasmussen's Aneurysm Am. J. Roentgenol., January 1, 2000; 174(1): 262 - 263. [Full Text]
|
|
|
|
 |
|
 C. M. Lilly and E. J. Mark Case 15-1999- A 77-Year-Old Man with Hemoptysis and Cardiovascular Disease N. Engl. J. Med., May 20, 1999; 340(20): 1571 - 1579. [Full Text] [PDF]
|
|
|
|
|
|
R. I. White Jr. Bronchial Artery Embolotherapy for Control of Acute Hemoptysis : Analysis of Outcome Chest, April 1, 1999; 115(4): 912 - 915. [Full Text] [PDF]
|
|
|
|
|
|
H. Mal, I. Rullon, F. Mellot, O. Brugiere, C. Sleiman, Y. Menu, and M. Fournier Immediate and Long-term Results of Bronchial Artery Embolization for Life-Threatening Hemoptysis Chest, April 1, 1999; 115(4): 996 - 1001. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. N. Leung Pulmonary Tuberculosis: The Essentials Radiology, February 1, 1999; 210(2): 307 - 322. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
