Bronchial artery embolization in hemoptysis: a systematic review

Managing Massive Hemoptysis

“…A variety of embolization agents can be used such as 300 to 600 mm polyvinyl alcohol particles, trisacryl gelatin microspheres, N-butyl cyanoacrylate glue, gelatin sponges, and metallic coils to occlude the bronchial vascular supply. 5,[65][66][67] In a systematic review of BAE, Panda et al 67 examined 22 studies totaling 3,265 patients and defined the initial success rate of BAE from 70% to 99%. However, the recurrence rate for bleeding is high, estimated up to 58% within 30 days.…”

Recurrent haemoptysis in a child with advanced cystic fibrosis lung disease

“…The cause is typically aberrant bronchial arteries, which normally originate from the aorta to supply the bronchi and lung parenchyma 2. Bronchial artery embolisation is the intervention of choice for life threatening bleeds, but can be technically challenging, has a high failure rate, and has substantial potential complications, including postembolisation syndrome, contrast media hypersensitivity, groin puncture haematomas, femoral artery pseudoaneurysms, vasospasm, dissection, perforation with wire or catheter, and some neurological complications 23. Embolisation of non-bronchial systemic arteries, such as the internal mammary arteries, is an option if haemoptysis continues 3.…”

Spinal Arterial Blood Supply Does Not Arise from the Bronchial Arteries: A Detailed Analysis of Angiographic Studies Performed for Hemoptysis

“…It was proposed by Marshal and Jackson in 1997 (18) that spinal supply may originate from the intercostobronchial artery and was, fortunately, more common than direct supply from the bronchial artery, implying that such direct bronchial supply does rarely exist. Similarly, in a systematic review of studies published between 1976 and 2016, Panda et al (1) concluded that spinal cord ischemia leading to transient or permanent paraparesis could be attributed to inadvertent embolization of spinal arteries arising from bronchial or intercostobronchial arteries. The current study found the existence of a right intercostobronchial artery in 57% of the patients.…”

“…Bronchial artery embolization has been shown to be a reasonably efficacious treatment for hemoptysis (1)(2)(3). Although there are a number of possible complications from this procedure, spinal cord ischemia remains the most dreaded.…”

“…It is generally held that spinal cord issues from bronchial artery embolization procedures have deceased over time (1,5,20). This is perhaps attributable to the present widespread use of nonionic contrast material and subselective catheterization of the bronchial artery for embolization (21).…”