{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T12:25:30Z","timestamp":1773059130966,"version":"3.50.1"},"reference-count":18,"publisher":"South African Medical Association NPC","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["S Afr Med J"],"abstract":"<jats:p>Rasmussen aneurysms are abnormalities of the pulmonary arterial system caused by tuberculosis (TB). They are associated with a highmortality rate when they cause life-threatening haemoptysis. High TB-prevalence regions have a large burden of TB-related haemoptysisbut often limited resources. This series of 25 patients who presented with life-threatening haemoptysis from current and\/or previous TBwere found to have abnormal pulmonary arteries on computed tomography pulmonary angiogram (CTPA), which were judged to belikely contributors to their bleeding, either in isolation or with concomitant abnormal bronchial or systemic vasculature. These patientsunderwent transcatheter placement of Amplatzer vascular plugs in the feeder pulmonary artery. Bronchial and systemic lesions wereaddressed separately as needed. Immediate technical success was achieved in all patients, but four of them experienced intraoperativehaemoptysis related to dislodgement of the occluding platelet plug by the high-pressure automatic injector and wire. At 48 hours after theprocedure, 18 (72%) remained haemoptysis-free. Six of these experienced recurrence within 1 year of their procedure. Pulmonary arteryplacement of an Amplatzer vascular plug is a feasible option for treating bleeding Rasmussen aneurysms, but should be part of a combinedapproach to addressing suspected culprit vascular lesions in all intrathoracic vascular systems.<\/jats:p>","DOI":"10.7196\/samj.2022.v113i2.16758","type":"journal-article","created":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T17:48:45Z","timestamp":1675792125000},"page":"65-68","source":"Crossref","is-referenced-by-count":2,"title":["Issues in Medicine"],"prefix":"10.7196","author":[{"given":"J A","family":"Shaw","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T J","family":"John","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C F N","family":"Koegelenberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Da Silva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B W","family":"Allwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Weich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4425","published-online":{"date-parts":[[2023,2,1]]},"reference":[{"key":"11323","doi-asserted-by":"crossref","unstructured":"Gupta M, Agrawal A, Iakovou A, et al. Pulmonary artery aneurysm: A review. Pulm Circ 2020;10(1):2045894020908780. https:\/\/doi.org\/10.1177\/2045894020908780","DOI":"10.1177\/2045894020908780"},{"key":"11324","doi-asserted-by":"crossref","unstructured":"Gothi R. Rasmussen aneurysm: A pseudoaneurysm of the pulmonary, not bronchial, artery. Radiology 2021;302(3):211647. https:\/\/doi.org\/10.1148\/radiol.211647","DOI":"10.1148\/radiol.211647"},{"key":"11325","unstructured":"Van der Walt M, Moyo S. The First National TB Prevalence Survey, South Africa 2018: Short report. Cape Town: South African Medical Research Council Human Sciences Research Council, 2021. https:\/\/www.knowledgehub.org.za\/system\/files\/elibdownloads\/2021-02\/A4_SA_TPS%20Short%20 Report_10June20_Final_highres.pdf (accessed 6 August 2021)"},{"key":"11326","doi-asserted-by":"crossref","unstructured":"Ngah V, Maud P, Baines N, et al. Respiratory presentations to acute services at a tertiary hospital in South Africa. S Afr Med J 2021:111(11):1104-1109 https:\/\/doi.org\/10.7196\/SAMJ.2021.v111i11.15711 5. Remy J, Lemaitre L, Lafitte JJ, et al. Massive hemoptysis of pulmonary arterial origin: Diagnosis and","DOI":"10.7196\/SAMJ.2021.v111i11.15711"},{"key":"11327","doi-asserted-by":"crossref","unstructured":"treatment. AJR Am J Roentgenol 1984;143(5):963-969. https:\/\/doi.org\/10.2214\/ajr.143.5.963","DOI":"10.2214\/ajr.143.5.963"},{"key":"11328","doi-asserted-by":"crossref","unstructured":"Fartoukh M, Khoshnood B, Parrot A, et al. Early prediction of inhospital mortality of patients with hemoptysis: An approach to defining severe hemoptysis. Respiration 2012;83(2):106-114. https:\/\/doi.","DOI":"10.1159\/000331501"},{"key":"11329","unstructured":"org\/10.1159\/000331501"},{"key":"11330","doi-asserted-by":"crossref","unstructured":"MasoudSR,IrusenEM,KoegelenbergCFN,etal.Outcomesofresectablepulmonaryaspergillomaand the performance gap in a high tuberculosis prevalence setting: A retrospective study. Afr J Thorac Crit Care Med 2017;23(1):8-13. https:\/\/doi.org\/10.7196\/SARJ.2017.v23i1.154","DOI":"10.7196\/SARJ.2017.v23i1.154"},{"key":"11331","doi-asserted-by":"crossref","unstructured":"Davidson K, Shojaee S. Managing massive hemoptysis. Chest 2020;157(1):77-88. https:\/\/doi. org\/10.1016\/j.chest.2019.07.012","DOI":"10.1016\/j.chest.2019.07.012"},{"key":"11332","doi-asserted-by":"crossref","unstructured":"Singh SK, Tiwari KK. Etiology of hemoptysis: A retrospective study from a tertiary care hospital from northern Madhya Pradesh, India. Indian J Tuberc 2016;63(1):44-47. https:\/\/doi.org\/10.1016\/j. ijtb.2016.02.007","DOI":"10.1016\/j.ijtb.2016.02.007"},{"key":"11333","doi-asserted-by":"crossref","unstructured":"Lopera JE. The Amplatzer vascular plug: Review of evolution and current applications. Semin Intervent Radiol 2015;32(4):356-369. https:\/\/doi.org\/10.1055\/s-0035-1564810","DOI":"10.1055\/s-0035-1564810"},{"key":"11334","doi-asserted-by":"crossref","unstructured":"Ianniello A, Carrafiello G, Nicotera P, et al. Endovascular treatment of a ruptured pulmonary artery aneurysm in a patient with Beh\u00e7et\u2019s disease using the Amplatzer Vascular Plug 4. Korean J Radiol 2013 Mar-Apr;14(2):283-286. https:\/\/doi.org\/10.3348\/kjr.2013.14.2.283","DOI":"10.3348\/kjr.2013.14.2.283"},{"key":"11335","doi-asserted-by":"crossref","unstructured":"Landi A, Nai Fovino L, Fabris T, et al. Pulmonary artery rupture during right heart catheterisation: Successful endovascular treatment with Amplatzer vascular plug. Eur Heart J 2018;39(44):3982. https:\/\/doi.org\/10.1093\/eurheartj\/ehy400","DOI":"10.1093\/eurheartj\/ehy400"},{"key":"11336","doi-asserted-by":"crossref","unstructured":"Tamura T, Yabuki T, Kawajiri T, et al. Transcatheter embolisation for idiopathic peripheral pulmonary arterial aneurysm: A case report. Clin Case Rep 2019;7(5):1021-1024. https:\/\/doi.org\/10.1002\/ ccr3.2154","DOI":"10.1002\/ccr3.2154"},{"key":"11337","doi-asserted-by":"crossref","unstructured":"Remy J, Smith M, Lemaitre L, et al. Treatment of massive hemoptysis by occlusion of a Rasmussen aneurysm. Am J Roentgenol 1980;135(3):605-606. https:\/\/doi.org\/10.2214\/ajr.135.3.605","DOI":"10.2214\/ajr.135.3.605"},{"key":"11338","doi-asserted-by":"crossref","unstructured":"Shin S, Shin T, Choi H, et al. Peripheral pulmonary arterial pseudoaneurysms: Therapeutic implications of endovascular treatment and angiographic classifications. Radiology 2010;256(2). https:\/\/doi.org\/10.1148\/radiol.10091416","DOI":"10.1148\/radiol.10091416"},{"key":"11339","doi-asserted-by":"crossref","unstructured":"Lal A, Bansal A, Chaluvashetty SB, et al. Percutaneous transthoracic embolisation for massive haemoptysis secondary to peripheral pulmonary artery pseudoaneurysms. Eur Radiol 2021;31(4):2183- 2190. https:\/\/doi.org\/10.1007\/s00330-020-07348-w","DOI":"10.1007\/s00330-020-07348-w"},{"key":"11340","doi-asserted-by":"crossref","unstructured":"Khalil A, Parrot A, Nedelcu C, et al. Severe hemoptysis of pulmonary arterial origin: Signs and role of multidetector row CT angiography. 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