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  • Title: Pulmonary angiography and embolization for severe hemoptysis due to cavitary pulmonary tuberculosis.
    Author: Sanyika C, Corr P, Royston D, Blyth DF.
    Journal: Cardiovasc Intervent Radiol; 1999; 22(6):457-60. PubMed ID: 10556403.
    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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