Moustafa Hashem Othman DMD, Presenter: Nothing to Disclose

To demonstrate the efficacy of bronchial and non bronchial systemic arterial embolization in the control of massive hemoptysis due to post-TB bronchiectasis and to present some interesting cases of aberrant non-bronchial systemic arterial supply to the lesions.

We recruited cases of Post-TB bronchiectasis presenting with massive hemoptysis to chest dept., Assiut University Hospital, Egypt between Jan 2008-Jan 2010. Every patient underwent urgent clinical examination, chest x ray, chest CT and diagnostic and interventional angiography. Results: We recruited 36 patients (25 males and 11 females). Complete control of hemoptysis was achieved in all patients. The total number of non-bronchial systemic artery was 16/36 (44.4%) in this study. Details are shown in the table.  

We recruited 36 patients (25 males and 11 females). Complete control of hemoptysis was achieved in all patients. The total number of non-bronchial systemic artery was 16/36 (44.4%) in this study.       

Bronchial and non bronchial arterial embolization is a safe and effective non surgical treatment for massive hemoptysis due to post-TB bronchiectasis  . Non-bronchial systemic arterial supply of the lesions was 44.4% . So, we recommend that it should be searched for thoroughly especially if recurrence or failure of control of hemoptysis is seen after bronchial arterial embolization.  

Bronchial artery embolization  is effective In the majority of cases, the bronchial artery is the source of bleeding. However, in some racases, the source is from non-bronchial systemic arteries.

Othman, M, Non-bronchial Systemic Arterial Embolization in Management of Massive Hemoptysis Secondary to Post-Tuberculous Bronchiectasis in Egypt  .  Radiological Society of North America 2010 Scientific Assembly and Annual Meeting, November 28 - December 3, 2010 ,Chicago IL. http://archive.rsna.org/2010/9001081.html