Author/Authors :
Seyyedi, Reza Department of Cardiology - National Research Institute of Tuberculosis and Lung Diseases (NRITLD) - Lung Transplantation Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Tabarsi, Payam Clinical Tuberculosis and Epidemiology Research Center - NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Sadr, Makan Virology Research Center - NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Aloosh, Oldooz Chronic Respiratory Diseases Research Center - NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Keshmiri, Mohammad Sadegh Chronic Respiratory Diseases Research Center - NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Abedini, Atefeh Chronic Respiratory Diseases Research Center - NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Marjani, Majid Clinical Tuberculosis and Epidemiology Research Center - NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Moniri, Afshin Clinical Tuberculosis and Epidemiology Research Center - NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Chitsazan, Mandana Chronic Respiratory Diseases Research Center - NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Azimi, Mojdeh Chronic Respiratory Diseases Research Center - NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Sharif-Kashani, Babak Department of Cardiology - National Research Institute of Tuberculosis and Lung Diseases (NRITLD) - Lung Transplantation Research Center - 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.
