Control of Massive Hemoptysis in Pulmonary Tuberculosis Patients with Bronchial artery Embolisation
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 7
Abstract
Background: Massive and untreated haemoptysisin pulmonary tuberculosis patients is a medical emergency. Conservative management of massive hemoptysis carrieshigh mortality rate. Bronchial artery embolization has become an established procedure in the management of massive and recurrent hemoptysis. The present study was undertaken to evaluate the efficacy of bronchial artery embolization in controlling massive hemoptysis in pulmonary tuberculosis patients.Material and Methods: Total 120 patients of pulmonary tuberculosis and its sequelae presenting with massivehaemoptysis between age group of 18-65 yearswere included for bronchial artery embolisation. Bronchial artery embolisationwas performed using high resolution DSA unit andgel foam as embolising agent.Percutaneous transfemoral arterial puncture was performed using Seldinger technique was used.Results:Out of 40 patients, 4 had recurrence and 36 showed no recurrence. Minor complication occurred during and post procedure including transient chest pain and dysphagia. Technical success rate of our study was 100%. The efficacy of bronchial artery embolisation in controlling haemoptysis proved to be 90%.Discussion: Bronchial artery embolisation is effective and safe technique to control and manage massive haemoptysis in pulmonary tuberculosis patients.
Authors and Affiliations
Shivraj M Ingole, Swapnil S Ingole, Manjunath Jannu, Mohd Shariq, Shilpa Domkundwar
Keywords
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