Document Detail


Control of tubercular haemoptysis by bronchial artery embolization.
MedLine Citation:
PMID:  9254462     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-seven patients presenting with massive or recurrent haemoptysis secondary to tuberculous aetiology were subjected to bronchial artery angiography. Of these, failure, to catheterize the bleeding vessel occurred in two patients while embolization was withheld in two patients due to the presence of anterior spinal artery arising from a common intercosto-bronchial trunk. Immediate arrest of bleeding was performed in the remaining 33 patients by selective embolization of the abnormal bronchial arteries with a resorbable material (Gelfoam). Regular follow up for a duration of 6 months after the procedure revealed relapse of haemoptysis in four patients; three were treated by re-embolization of the abnormal bleeding vessels while one patient died due to aspiration immediately on admission. No recurrence of bleeding was seen in the remaining 29 patients. It is concluded that bronchial artery embolization is an effective treatment for immediate control of life-threatening haemoptysis.
Authors:
S Mani; R Mayekar; R Rananavare; D Maniar; J Matthews Joseph; A Doshi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tropical doctor     Volume:  27     ISSN:  0049-4755     ISO Abbreviation:  Trop Doct     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-08-11     Completed Date:  1997-08-11     Revised Date:  2006-04-13    
Medline Journal Info:
Nlm Unique ID:  1301706     Medline TA:  Trop Doct     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  149-50     Citation Subset:  IM    
Affiliation:
Department of Radiology, BYL Nair Charitable Hospital, Bombay, India.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Aged
Bronchial Arteries*
Embolization, Therapeutic / methods*
Female
Follow-Up Studies
Gelatin Sponge, Absorbable / therapeutic use
Hemoptysis / microbiology*,  therapy*
Hemostatics / therapeutic use
Humans
Male
Middle Aged
Recurrence
Tuberculosis, Pulmonary / complications*
Chemical
Reg. No./Substance:
0/Hemostatics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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