Arterial embolization for hemoptysis in patients with chronic pulmonary tuberculosis and in patients with bronchiectasis.

Arterial embolization for hemoptysis in patients with chronic pulmonary tuberculosis and in patients with bronchiectasis. Acta Radiol. 2018 Oct 03;:284185118805258 Authors: Lu GD, Zhang JX, Zhou CG, Xia JG, Liu S, Zu QQ, Shi HB Abstract Background Previous studies suggest that recurrence of hemoptysis after arterial embolization is associated with the underlying pulmonary disease. Purpose To compare the baseline information and imaging findings in patients with hemoptysis due to either chronic pulmonary tuberculosis (PTB) or bronchiectasis and to identify predictors of rebleeding after embolization treatment. Material and Methods Clinical data of all consecutive chronic PTB and bronchiectasis patients who underwent arterial embolization for hemoptysis from January 2010 to January 2017 in a single center were reviewed. Baseline clinical information, radiological features, and rebleeding rates were compared between patients with chronic PTB and patients with bronchiectasis. Multivariate analysis was used to identify risk factors of recurrence in each patient group. Results Seventy-six patients with chronic PTB and 97 patients with bronchiectasis were included. Male sex, pleural thickening, multiple embolized arteries, and non-bronchial systemic arterial (NBSA) blood supply were more common in chronic PTB patients. The short-term and long-term recurrence-free rates were significantly lower in the chronic PTB group ( P 
Source: Acta Radiologica - Category: Radiology Authors: Tags: Acta Radiol Source Type: research

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CONCLUSIONS: The space on sagittal plane occupied by presacral abscess may push forward the vessels and therefore provide opportunities for anterior internal fixation. PMID: 31554492 [PubMed - in process]
Source: Journal of Orthopaedic Surgery - Category: Orthopaedics Authors: Tags: J Orthop Surg (Hong Kong) Source Type: research
ConclusionsIntercostal artery embolization with 300 –500 μm alone or combined with microcoils is a safe and effective procedure in patients with IPVS-induced bronchial hemoptysis.
Source: La Radiologia Medica - Category: Radiology Source Type: research
We describe a case of intercostal artery pseudoaneurysm in a patient of pulmonary TB, presenting as massive hemoptysis. Computed tomography bronchial angiography (CTBA) revealed a contrast-filled outpouching in a left upper lobe cavity. Catheter angiography revealed a pseudoaneurysm arising from one of the left intercostal arteries, which was managed subsequently by endovascular embolization. Pseudoaneurysm from visceral arteries is an extremely rare but important cause of massive hemoptysis in pulmonary TB, which if not managed promptly may prove fatal.
Source: Lung India - Category: Respiratory Medicine Authors: Source Type: research
Publication date: August 2018Source: Academic Radiology, Volume 25, Issue 8Author(s): Haixian Qu, Maoqiang Wang, Zhijun Wang, Guokun Ao, Xiaodong Yuan, Qiang Li, Zepeng Ma, Qianru Xu, Jieyu Yan, Yanhua BaiRationale and ObjectivesThis prospective study aimed to evaluate the diagnostic performance of dual-input computed tomography perfusion technique (DI-CTP) in identifying the bronchial-pulmonary artery fistula in patients tuberculosis with massive hemoptysis.Material and MethodsTwenty patients with tuberculosis with massive hemoptysis were enrolled from January 2015 to December 2015. The association between DI-CTP paramete...
Source: Academic Radiology - Category: Radiology Source Type: research
AbstractA 24-year-old male presented with history of recurrent unresolving haemoptysis since 1.5  years. He underwent repeated hospitalisation. Initial computed tomography (CT) scan was suggestive of pneumonitis of the left lower lobe and was treated conservatively with broad-spectrum antibiotics. He had no past history of pulmonary tuberculosis. On presentation at our hospital, a repeat CT pu lmonary angiogram was done which showed a low attenuating mass lesion in the left lower lobe with eccentric calcification supplied by branches from the left pulmonary artery. Few dot-like enhancing pulmonary veins are noted with...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Publication date: August 2018Source: Academic Radiology, Volume 25, Issue 8Author(s): Haixian Qu, Maoqiang Wang, Zhijun Wang, Guokun Ao, Xiaodong Yuan, Qiang Li, Zepeng Ma, Qianru Xu, Jieyu Yan, Yanhua BaiRationale and ObjectivesThis prospective study aimed to evaluate the diagnostic performance of dual-input computed tomography perfusion technique (DI-CTP) in identifying the bronchial-pulmonary artery fistula in patients tuberculosis with massive hemoptysis.Material and MethodsTwenty patients with tuberculosis with massive hemoptysis were enrolled from January 2015 to December 2015. The association between DI-CTP paramete...
Source: Academic Radiology - Category: Radiology Source Type: research
Publication date: 2018 Source:IDCases, Volume 11 Author(s): Michael Chavarria, Larry Lutwick, Bonny L. Dickinson Mycobacterium celatum is a slow-growing, non-tuberculous mycobacterium (NTM) and a rare cause of infection in humans. Infection occurs primarily by inhalation or direct inoculation from environmental sources, and this pathogen has been reported to cause localized infections in the lungs and lymph nodes of both immunocompetent and immunocompromised patients, and disseminated disease in immunocompromised patients. Here, we present a case of pulmonary infection with M. celatum in an immunocompetent 68-year-old mal...
Source: IDCases - Category: Infectious Diseases Source Type: research
This report describes the case of a 30-year-old homeless man from Pereira, Colombia with tuberculosis, who presented with massive hemoptysis and associated aneurysm of the left upper lobe (Rasmussen aneurysm). Computed tomography angiography with three-dimensional reconstruction confirmed the aneurysm, and embolization was performed successfully.
Source: International Journal of Infectious Diseases - Category: Infectious Diseases Authors: Tags: Medical Imagery Source Type: research
We describe the clinical findings of a 30-year-old homeless man from Pereira, Colombia with tuberculosis, presenting with massive hemoptysis and associated aneurysm of the left upper lobe (Rasmussen aneurysm). Computed tomography angiography with 3D reconstruction confirmed the aneurysm, and embolization was performed successfully.
Source: International Journal of Infectious Diseases - Category: Infectious Diseases Authors: Tags: Medical Imagery Source Type: research
Conclusions DI-CTP scan possesses the diagnostic value for detecting bronchial-pulmonary artery fistula in patients with tuberculosis with massive hemoptysis, providing an alternative diagnostic method.
Source: Academic Radiology - Category: Radiology Source Type: research
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