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Radiology · Interventional radiology: embolisation
Sample itemA patient with massive haemoptysis from chronic cavitary tuberculosis is stabilised. Which interventional procedure is the preferred definitive control in the acute setting?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Bronchial artery embolisation
Most massive haemoptysis arises from hypertrophied bronchial arteries and angiography with embolisation controls bleeding in a large majority of cases. Surgery is reserved for failures. IVC filters are for venous thromboembolism.
Option by option
A. Bronchial artery embolisation (correct)
Correct. Bronchial artery embolisation is the first-line intervention.
B. Pulmonary vein ligation
Pulmonary vein ligation does not address the source.
C. Inferior vena cava filter
An IVC filter is for thromboembolic disease.
D. Pleurodesis
Pleurodesis treats recurrent effusions or pneumothorax.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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