Complex internal mammary to pulmonary artery fistula as a cause of hemoptysis in tuberculosis: Diagnosis and endovascular management using ethylene vinyl alcohol copolymer (Onyx)
2011
Complex Fistula Treatment for Hemoptysis in Tuberculosis
Sample size: 1
publication
Evidence: moderate
Author Information
Author(s): Gregory Ahuja, Chaitanya Chadha, Meghna
Primary Institution: Cleveland Clinic, USA
Conclusion
The complex right internal mammary to pulmonary artery fistula was successfully treated with Onyx embolization, and the patient remained symptom-free for 2.5 years.
Supporting Evidence
- The patient had recurrent hemoptysis and was treated for pulmonary tuberculosis four years prior.
- Embolization with Onyx was chosen due to the high-flow nature of the fistula.
- There were no procedural complications reported after the treatment.
Takeaway
A patient with a serious lung problem caused by tuberculosis had a special blood vessel connection that made him cough up blood, but doctors fixed it using a special glue, and now he's better.
Methodology
The treatment involved angiographic evaluation and embolization using a liquid embolic agent, Onyx.
Participant Demographics
A 30-year-old patient of Asian descent with a history of pulmonary tuberculosis.
Digital Object Identifier (DOI)
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