Flexible bronchoscopic argon plasma coagulation for management of massive hemoptysis in bronchial Dieulafoy's disease

Madan, Karan; Dhungana, Ashesh; Hadda, Vijay; Guleria, Randeep

doi:10.4103/0970-2113.197096

Cited by 17 publications

(18 citation statements)

References 10 publications

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“…Most of the cases were reported from Asia (38 patients) [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24], followed by Europe (23 patients) [3,4,[25][26][27][28][29][30][31][32][33][34][35][36][37], North America (seven patients) [38][39][40][41][42][43][44], Oceania (two patients) [5,45], and the country of origin was not reported for three patients (Fig. 2) [46].…”

Section: Continent and Country Of Originmentioning

confidence: 99%

Bronchial Dieulafoy’s disease: a retrospective analysis of 73 cases

Qian

Wei

et al. 2019

BMC Pulm Med

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Background Bronchial Dieulafoy’s disease (BDD) is a rare disease that is known to be a cause of hemorrhage. The characteristics of this disease are still unknown. The present study describes the disorder based on a review of the world’s literature, emphasizing the diagnostic and therapeutic views. Methods A comprehensive research of BDD of the PubMed, Google Scholar, and Web of Science databases was performed. The following data were collected: patient characteristics; chest imaging, bronchoscopy, vascular angiography, and histopathologic examination findings; and treatment rendered. Results 73 cases of BDD have been reported from 1995 to 2019. Most of the cases occurred in Asia (52.1%), followed by Europe (31.5%). Chest imaging findings were non-specific. The main bronchoscopy finding was a nodular or protruding lesion (60.9%). 19 patients underwent bronchoscopic biopsies, 17 had bleeding, and 6 died. Four patients were successfully shown to have vascular malformations under mucosal protrusion by endobronchial ultrasound scan (EBUS). Vascular angiography mainly showed tortuous, dilated bronchial arteries. Vascular angiography mainly showed tortuous, dilated bronchial arteries. The arterial supply was mainly provided by bronchial arteries (48 cases) and the pulmonary circulation (4 cases). The lesions were mainly located in the right bronchus (53 cases). Selective bronchial artery embolization (BAE) was attempted in 38 patients and 20 patients underwent lobectomies. Emergency resection was performed in 15 patients, all of whom survived and had no recurrent hemoptysis. Conclusions Massive hemoptysis was the common manifestation of BDD. Vascular angiography and EBUS is a very useful examination before biopsy. BAE may be used in stable patients, or patients who cannot tolerate surgery, while surgical resection should be considered in patients who are unstable, patients with uncontrolled hemoptysis, or following BAE failure. Electronic supplementary material The online version of this article (10.1186/s12890-019-0863-1) contains supplementary material, which is available to authorized users.

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Section: Continent and Country Of Originmentioning

confidence: 99%

Bronchial Dieulafoy’s disease: a retrospective analysis of 73 cases

Qian

Wei

et al. 2019

BMC Pulm Med

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“…Argon plasma coagulation has been used to successfully manage 2 cases. [ 8 , 9 ] Our cases are the first in which the Nd:YAP laser has been employed to manage these lesions. Our success in Case 1 supports the use of this and similar ablative technologies, but such intervention should only be performed in select cases.…”

Section: Discussionmentioning

confidence: 97%

“…[ 3 , 6 ] Management has included surgical lung resection, bronchial artery embolization, and bronchoscopic ablation. [ 3 , 7 – 9 ]…”

Section: Introductionmentioning

confidence: 99%

Two cases of Dieulafoy lesions of the bronchus with novel comorbid associations and endobronchial ablative management

2018

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“…Selecting a vessel that is visible and accessible to ablative energy is crucial. Other ablative tools also have been successful in ablation of Dieulafoy lesions of the bronchus, such as argon plasma coagulation(APC) [10,11]. The mechanism of APC is that the blood is quickly coagulated locally at the proximal end of the bleeding bronchus, so that the immediate hemostatic effect could be achieved.…”

Section: Discussionmentioning

confidence: 99%

Clinical characteristics and treatments for bronchial Dieulafoy's disease

Chen

et al. 2019

Respiratory Medicine Case Reports

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BackgroundDieulafoy's disease of the bronchus is an arterial abnormality characterized by enlarged mucosal arterial branches that are susceptible to lethal bleeding. To date, this disease is rarely reported in the literature. We recently encountered three patients from February 2010 to March 2017, each with such a vascular anomaly in a bronchus with massive hemoptysis.AimThis paper describes the clinical characteristics and treatments for Dieulafoy's disease.MethodsWe report three cases with recurrent massive hemoptysis. Bronchoscopic examination was performed on two patients, one with a non-pulsating polypoid nodule and the other without. One patient had fatal bleeding after biopsy and could not withstand bronchial artery embolization or thoracotomy. Angiography and bronchial artery embolization on another two patients successfully stopped the bleeding. In addition, we retrospectively reviewed the literature on all reported cases with cryptogenic hemoptysis, obtained through PubMed and Chinese journal searches.ResultsThe intervention with embolization was successful, and no new episodes of acute hemoptysis were observed.ConclusionAngiography can be used for diagnosis of Dieulafoy's disease of the bronchus, whereas bronchoscopy biopsy should be avoided. Interventions such as embolization or bronchial coagulation play an important role in patients with coughing with massive hemoptysis.

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Flexible bronchoscopic argon plasma coagulation for management of massive hemoptysis in bronchial Dieulafoy's disease

Cited by 17 publications

References 10 publications

Bronchial Dieulafoy’s disease: a retrospective analysis of 73 cases

Bronchial Dieulafoy’s disease: a retrospective analysis of 73 cases

Two cases of Dieulafoy lesions of the bronchus with novel comorbid associations and endobronchial ablative management

Clinical characteristics and treatments for bronchial Dieulafoy's disease

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