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

Abstract

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.

Bronchial artery embolization in hemoptysis: a systematic review

“…Shin et al (25) did not perform aortogram in 57 out of 163 patients (35%) and the recurrence rate in the group without aortogram was significantly higher (P = 0.001).…”

“…CT bronchial angiography was not performed by any of these authors for delineation of bronchial arteries. Woo et al (6) and Fruchter et al (9) could localize site of bleeding in 91%, while Shin et al (25) could identify cause of hemoptysis in 92% but site and lobe localization for bleeding were only 36.2% and 30.5%, re- spectively. Similarly, in the study by Agmy et al (7), the cause of hemoptysis could be determined in 83%, while site of bleeding was seen in only 14.3%.…”

“…In fact, a few studies reported the role of BAE exclusively in patients with active TB and/or post-TB sequelae (9,18,21,25,27). On the other hand, malignancies, nontubercular mycobacterial infections, lung abscesses, vasculitis, and cryptogenic hemoptysis were Bronchial artery embolization in hemoptysis • 309 more common in studies published from Western population (8,12).…”

“…Amongst the earlier published studies, superselective embolization was notably performed in four studies (19,20,22,23). Superselective catheterization enabled bypassing anterior spinal arteries and catheterization of smaller, more distal, and torturous arteries; thereby providing better overall hemoptysis control and lesser risk of complications (6,7,10,25).…”

“…We also excluded five studies whose full-texts were not available despite our best efforts. Finally, there were 22 studies (5)(6)(7)(8)(9)(10)(11)(12)(13)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) meeting the selection criteria for this systematic review. The search strategy is schematized in Fig.…”