Embolization therapy in haemoptysis

Lampmann, L. E. H.; Tjan, T. G.

doi:10.1016/0720-048x(94)90356-5

Cited by 15 publications

(3 citation statements)

References 15 publications

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“…If bleeding continues or cannot be localized, emergent arteriography and embolization is indicated. Bronchial artery embolization (BAE) is an established treatment for massive and serious hemoptysis with good results and an acceptable rate of complications and morbidity [9][10][11]. Occlusion of the bleeding bronchial vessels should be considered for both short term and long term definitive therapy as we proved in the presented case report.…”

Section: Discussionmentioning

confidence: 76%

Evaluation and Management of Massive Endotracheal Hemorrhage in Pediatric Patients: A Case Report and Review of Literature

Vaughn¹,

Shete²,

Stocks³

et al. 2013

IJOHNS

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Massive hemoptysis is a frightening and life-threatening event in children. Prompt, aggressive evaluation and management are necessary. The most common cause of hemoptysis in a pediatric patient is infectious, but other various etiologies including tracheotomy related problems, cystic fibrosis, bronchiectasis, congenital anomalies of the cardiopulmonary vasculature and suction trauma must be considered as well. Presented is a report of a case of acute, massive endotracheal hemorrhage with multiple methods of management including balloon tamponade, highly selective embolization, and mainstem occlusion. This case is an addition to our previously reported case series of nine pediatric patients with massive pulmonary hemorrhage. Various diagnostic and management techniques of hemoptyis in pediatric patients are discussed with an extensive review of the literature.

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Section: Discussionmentioning

confidence: 76%

Evaluation and Management of Massive Endotracheal Hemorrhage in Pediatric Patients: A Case Report and Review of Literature

Vaughn¹,

Shete²,

Stocks³

et al. 2013

IJOHNS

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“…Of interest here is selective arteriography and embolization, which has already been described as an effective therapeutic measure for many types of hemorrhages. It is commonly used to manage renal, splenic, hepatic, cervical and peripheral vascular injuries, extremity fractures and hemoptysis [6], and is considered the standard of care in controlling bleeding in pelvic fractures. It is a highly accurate procedure, associated with few complications and a high success rate.…”

Section: Discussionmentioning

confidence: 99%

Massive Hemothorax Caused by Intercostal Artery Bleeding: Selective Embolization May Be an Alternative to Thoracotomy in Selected Patients

Kessel¹,

Alfici²,

Ashkenazi³

et al. 2004

Thorac cardiovasc Surg

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Massive hemothorax is an indication for thoracotomy. We report a case of an 85-year-old debilitated patient, in whom massive hemorrhage from an actively bleeding intercostal artery was controlled by angiographic embolization. Angiographic embolization proved to be an effective alternative to thoracotomy in this patient, thus avoiding numerous postoperative complications and high mortality. Massive bleeding from an intercostal artery should be considered an indication for angiographic embolization in selected patients.

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“…Considered as the most sensitive diagnostic test; Hirschberg et al (16) stated that sole utilization of chest CT scan, yields positive result of 67%, that increased up to 93% upon combining CT scanning with bronchoscopy. A study by Lampmann and Tjan (17) of 50 patients undergoing embolotherapy with long-term follow-up found that bronchoscopy indicated the source of bleeding in 32 of 50 patients (64%).…”

Section: Multi-detectormentioning

confidence: 99%

Bronchial Artery Embolization as a Therapeutic Strategy for Management of Massive Hemoptysis

Abdurrahman

Ibrahim

Mohammad

et al. 2021

Ain Shams Medical Journal

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Background: Massive hemoptysis is an emergent and lifethreatening condition with a high mortality rate. Bronchoscopy and MDCT scanning show significant contributing roles in delineating the etiology and the source of hemoptysis prior to bronchial artery arteriography. Aim of the work:To validate the role of the trans-catheter bronchial artery embolization in management of massive hemoptysis.Patients and Methods: Our study is a prospective cohort study that was held during the period between April 2017 and April 2019. The study included 20 patients who presented with massive hemoptysis refractory to supportive treatment measures with nonidentifiable source of bleeding on fiber-optic bronchoscope. Patients were referred from chest department to angio unit.Results: Our findings are in accordance with the current literature supporting bronchial artery embolization as a safe and long-term non-invasive effective method of treatment for massive hemoptysis with a high initial rate of success. BAE may help to avoid surgery in patients who are not good surgical candidates. If hemoptysis recur in these patients, embolization can be safely performed with good response rate. If surgery is indicated, BAE can stabilize the patient prior to surgery. Conclusion:Advancements in angiographic equipment and technique continue to improve success rates, and with careful technique, it can be performed safely and with minimal risk. Embolization distal to the spinal artery may significantly decrease the number of complications and may allow a more thorough embolization.

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Embolization therapy in haemoptysis

Cited by 15 publications

References 15 publications

Evaluation and Management of Massive Endotracheal Hemorrhage in Pediatric Patients: A Case Report and Review of Literature

Evaluation and Management of Massive Endotracheal Hemorrhage in Pediatric Patients: A Case Report and Review of Literature

Massive Hemothorax Caused by Intercostal Artery Bleeding: Selective Embolization May Be an Alternative to Thoracotomy in Selected Patients

Bronchial Artery Embolization as a Therapeutic Strategy for Management of Massive Hemoptysis

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