Abstract: Objective To evaluate the clinical value of combined bronchial-intercostal arterial embolization(CBIAE) for treating heavy hemoptysis from pulmonary tuberculosis. Methods After the selective arteriography,arterial embolization with 2 mm silk thread was performed in 19 patients with heavy hemoptysis from pulmonary tuberculosis. Results In 19 patients,58 responsible arteries were embolized.CBIAE was performed in 17 patients,and only bronchial arterial embolization was performed in 1 patient and only intercostal arterial embolization in another patient.Bleeding stopped within 24 hours in 16 patients of the 17 patients treated with CBIAE(94.18%) and bleeding stopped within one week in another patient.The total effective rate of CBIAE was 100%(17/17).Only bronchial or only intercostal arterial embolization was ineffective in 2 patients.Recurrence of hemoptysis was found in 2 patients in 3 to 6 months.No serious complication related to embolization occured. Conclusion CBIAE is a fast,safe and effective way for treating heavy hemoptysis from pulmonary tuberculosis.

Key words: Pulmonary tuberculosis, Hemoptysis, Bronchial artery,intercostal artery, Embolization