TANAFFOS (Respiration)

TANAFFOS (Respiration)

Bronchial Angioembolization for Management of Hemoptysis Due to Pulmonary Tuberculosis

Document Type : Original Article

Authors
Seyed Reza Seyyedi 1
Payam Tabarsi 2
Makan Sadr 3
Oldooz Aloosh 4
Mohammad Sadegh Keshmiri 4
Atefeh Abedini 4
Majid Marjani 2
Afshin Moniri 2
Mandana Chitsazan 4
Mojdeh Azimi 4
Babak Sharif-Kashani 1
1 Lung Transplantation Research Center, Department of Cardiology, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Clinical Tuberculosis and Epidemiology Research Center, NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Virology Research Center, NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Chronic Respiratory Diseases Research Center, NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
Background: The study aimed to evaluate the effectiveness and safety of BAE in TB patient with massive hemoptysis and evaluate the recurrence rate of hemoptysis after BAE.
Materials and Methods: In this prospective study, 68 patients with moderate and severe hemoptysis due to active or old tuberculosis who underwent bronchial arteriography were included. CXR and CT scan were performed in all patients. Selective and nonselective bronchial artery angiography was performed in all patient and 62 patients underwent embolization.
Results: Thirty-two patients (47.1%) had active TB and 36 patients (52.9%) had inactive TB (post-tuberculosis sequelae). Abnormality was detected in a single vessel in 30 (44.1%) patients, in two vessels in 23 (33.8%) and in more than two vessels in 13 (19.1%) patients. Embolization was performed in 62 patients and overall 95 abnormal arteries were embolized. Hemoptysis control rate was 82.3% at one month, 73.5% at three months, 69.1 % at 6 months, 63.2% at one year and 60.3% after two years.
Conclusion: No major complication occurred as a result of BAE procedures. BAE is a safe and effective method for the management of hemoptysis in patient with tuberculosis. Only 20.6% of the patients need to repeat BAE during 2 years of follow up.
Keywords
Embolization
Bronchial artery
Tuberculosis
Hemoptysis
TANAFFOS (Respiration)
Volume 20, Issue 2
Spring 2021
Pages 134-139