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Free Content Bronchial artery embolisation for the management of haemoptysis in patients with pulmonary tuberculosis

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Abstract:

OBJECTIVES: To evaluate immediate and long-term outcomes of bronchial artery embolisation (BAE) for the treatment of haemoptysis in patients with pulmonary tuberculosis (TB), and to clarify factors that influence recurrence.

DESIGN: Of 398 patients with haemoptysis who underwent BAE between January 2004 and June 2009, 169 were retrospectively reviewed. All of the patients had either a history of pulmonary TB or a current diagnosis of TB. Follow-up ranged from 1 day to 66 months.

RESULTS: Haemoptysis was stopped or markedly decreased, with subsequent clinical improvement, in 163 patients (96.4%); in 50 patients symptoms recurred during the follow-up period. Disease activity, aortography and mycetoma showed a statistically significant correlation with recurrence rate. Cumulative non-recurrence rates were 76.1% for 12 months and 51.4% for 40months. The median non-recurrence time was 41.2 months. Disease activity and mycetoma showed a statistically significant correlation with early recurrence. Only one major complication was observed.

CONCLUSIONS: BAE is a safe and effective treatment option for the control of haemoptysis in TB patients. Disease activity and mycetoma both correlate with higher recurrence rate and early time of recurrence.

Keywords: embolisation; haemoptysis; prognosis; pulmonary tuberculosis; treatment outcome

Document Type: Regular Paper

DOI: https://doi.org/10.5588/ijtld.10.0659

Affiliations: 1: Department of Radiology, Chungnam National University Hospital, Daejeon, Republic of Korea 2: Bundang CHA General Hospital, Pochon CHA University, Gyeonggi-do, Republic of Korea; Department of Radiology, Dankook University Hospital, Chungcheongnam-do, Republic of Korea 3: Department of Radiology, Dankook University Hospital, Chungcheongnam-do, Republic of Korea

Publication date: 2011-08-01

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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