Pulmonary angiography and embolization for severe hemoptysis due to cavitary pulmonary tuberculosis.
OBJECTIVE
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.
Sanyika
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Department of Radiology, University of Natal, Faculty of Medicine, Private Bag 7, Congella 4013, Kwazulu Natal, South Africa.
Corr
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Royston
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Blyth
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DF
D000328:Adult; D015901:Angiography, Digital Subtraction; D004621:Embolization, Therapeutic; D005260:Female; D006469:Hemoptysis / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging*; D014397:Tuberculosis, Pulmonary / Q000150:complications*