Diagnosis and Treatment of Hemoptysis

Cordovilla, Rosa; Miguel, Elena Bollo de; Ares, Ana Núñez; Povedano, F. J. Cosano; Ortega, Ismael; Merchán, R. Jiménez

doi:10.1016/j.arbr.2016.05.010

Cited by 25 publications

(29 citation statements)

References 68 publications

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“…The reason for this is not clear but it may be due to lack of data on clinical outcomes of this procedure. According to the American College of Radiology and Spanish Society of Pneumology and Thoracic Surgery (SEPAR) guidelines, this technique should be conducted in patients who experience signi cant hemoptysis but the strength of recommendation is low [21,22]. Until now, it is often performed by an individualized decision based on institutional availability.…”

Section: Discussionmentioning

confidence: 99%

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Value of multidetector computed tomography angiography before bronchial artery embolization in hemoptysis management and early recurrence prediction: a prospective study

Le¹,

Phạm

et al. 2020

Preprint

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Background: Multidetector computed tomography (MDCT) angiography is an useful examination to detect the source of the bleeding in patients with hemoptysis. The aim of the study was to prospectively evaluate the role and clinical efficacy of MDCT angiography before bronchial artery embolization (BAE) for the management of hemoptysis, and to investigate the predictors of early recurrence.Methods: It is a double-center study which included 57 hemoptysis patients undergoing MDCT angiography prior to BAE from August 2019 to July 2020. A prospective analysis of culprit arteries detected by MDCT angiography allowed an evaluation of the role of this technique. A follow-up was done to assess the efficacy of BAE with preprocedural MDCT angiography and to explore the risk factors of early recurrent hemoptysis.Results: The accuracy of MDCT angiography in the identification of culprit arteries was as high as 97.5%. The average number of total culprit arteries per patient was 2.75 1.73. Among which, the average numbers of culprit ectopic bronchial arteries (BAs) and non-bronchial systemic arteries (NBSAs) per patient were 0.21 0.41 and 1.04 1.57, respectively. The immediate clinical success rate, total hemoptysis recurrence rate, and early hemoptysis recurrence rate of BAE following MDCT angiography were 94.7%, 18.5%, 16.7%, respectively. Aspergilloma (HR = 6.63, 95% CI: 1.31-33.60, p = 0.022) was associated with an increase in the risk of early recurrence.Conclusions: MDCT angiography should be performed before BAE for the management of hemoptysis. Aspergilloma was an independent predictor for early recurrence.

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Section: Discussionmentioning

confidence: 99%

“…However, most reports have been retrospective studies, and the evaluation of e cacy of BAE following MDCT angiography on clinical outcomes is limited. Some literature also has uncertainly recommended MDCT angiography as a regular examination in patients undergoing BAE for hemoptysis [19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Value of multidetector computed tomography angiography before bronchial artery embolization in hemoptysis management and early recurrence prediction: a prospective study

Le¹,

Phạm

et al. 2020

Preprint

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“…As expectorated blood often originates from the bronchial arteries, selective bronchial arteriography, and bronchial artery embolization (BAE) has been found to be the safest and most effective therapy for hemoptysis in adults . It is now considered the procedure of choice for the management of massive and recurrent hemoptysis, either as a first‐line therapy or as an adjunct to elective surgery . Non‐bronchial systemic artery embolization has also been reported in the treatment of hemoptysis in adults .…”

Section: Discussionmentioning

confidence: 99%

A novel approach to the diagnosis and treatment of hemoptysis in infants: A case series

Zaidi

Schweig

Patel

et al. 2018

Pediatric Pulmonology

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“…Laboratory outcomes, pulmonary ventilation, diagnostic fields, and count of abnormal arteries were compared between the MP group (Group 1) and the non-MP group (Group 2). A standard pharmacotherapy for hemoptysis has been undertaken in each case, and once a specific diagnosis of vascular malformations, transcatheter plug occlusion is instantly recommended with a micro vascular plug [16][17] . Surgical management, such as ligation of vessels or lung resection, is as alternative choice once interventional one failed to control hemorrhage.…”

Section: Methodsmentioning

confidence: 99%

Is Mycoplasma pneumonia a potential factor for hemoptysis related to pulmonary vascular malformations? A retrospective cohort study of 27 children

Kuang

Qin

et al. 2019

Preprint

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Background: To summarize characteristics of hemoptysis in children associated with pulmonary vascular malformations, and to identify the pathological mechanism, potentially. Methods: Children were recruited who were diagnosed with hemoptysis for pulmonary vascular malformations without congenital heart disease (CHD). The demographics, history, clinical characteristics, laboratory findings, pathogens testing, imaging outcomes and prognosis were systemically reported. The nonparametric Mann-Whitney U test using SPSS 24.0 was employed to compare the continuous laboratory variables, and Fisher’s exact test was applied for data enumeration. A P-value of <0.05 was considered statistically significant. Results: In sum, 27 children were enrolled in this retrospective study with a medium age of 9.1 years old, among whom 9.1% were in preschool-group, 72.7% in school-group, and 18.2% in adolescent-group. Different hemoptysis degrees were observed from individuals, and the moderate and severe conditions were commonly in elder children. Meanwhile some antecedent symptoms were recorded, mainly cough and fever before hemoptysis occurrence. Pathogens testing indicated proofs for infection of MP in 68.2% patients, and 37.5% were further identified with MP-DNA-PCR. Images revealed interstitial changes in most hemoptysis cases, especially in the inferior lobe of right lung for cases with MP infection, and endovascular contrast detected 24 patients with abnormal bronchial arteries (BAs) causing bronchial artery-pulmonary artery fistula and 3 patients suffered from pulmonary arteriovenous fistula (PAVF). After the transcatheter plug closure, a recurrent hemoptysis occurred in 8 patients suffered from an infection of MP initially, and the OR of clinical worsening in Group 1 where cases were considered with an infection of MP, was 2:1. Conclusions: Pulmonary vascular malformations can be commonly detected in elder children. An infection of MP possibly acts as a potential trigger inducing the rupture of affected vessels, which could take a higher risk of clinical worsening.

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Diagnosis and Treatment of Hemoptysis

Cited by 25 publications

References 68 publications

Value of multidetector computed tomography angiography before bronchial artery embolization in hemoptysis management and early recurrence prediction: a prospective study

Value of multidetector computed tomography angiography before bronchial artery embolization in hemoptysis management and early recurrence prediction: a prospective study

A novel approach to the diagnosis and treatment of hemoptysis in infants: A case series

Is Mycoplasma pneumonia a potential factor for hemoptysis related to pulmonary vascular malformations? A retrospective cohort study of 27 children

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