A young man with TB presents with massive recurrent hemoptysis. For angiographic treatment which vascular structure should be evaluated first?
Correct Answer: Bronchial aery
Description: Most common vessel responsible for the hemoptysis in TB, even in bronchitis, bronchogenic carcinoma is the bronchial aery. Bronchial aery angiography with embolization has become a mainstay in the treatment of hemoptysis. Major complications are rare and immediate clinical success defined as cessation of hemorrhage ranges in most series from 85% to 100%, although recurrence of hemorrhage ranges from 10% to 33%. Bronchial aery embolization offers a minimally invasive procedure for even the most compromised patient serving as first-line treatment for hemorrhage as well as providing a bridge to more definitive medical or surgical intervention focused upon the etiology of the hemorrhage.
Category:
Radiology
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