Treatment of Hemoptysis by Embolization of Bronchial Arteries

Abstract

One hundred and four patients presenting with either massive or repeated hemoptysis were treated by embolization of the bronchial arteries with a resorbable material (Spongel). The procedure was performed via selective catheterization of the abnormal arteries. Forty-nine patients were treated during and 55 after hemoptysis. Of the 49 patients treated during hemoptysis, immediate arrest of bleeding was affected in 41 but 6 of these patients suffered relapse two to seven months after the procedure. There was no recurrence of bleeding in the remaining 35 patients.

Outcome of bronchial artery embolisation for life threatening haemoptysis due to tuberculosis and post tuberculosis sequelae.

“…As reported in the literature, the hemoptysis control rate at one month varies between 51%-85% (6,8,10,20,23,24). Uflacker et al (21) and Ramakantan et al (6) report their experience predominantly in patients with tuberculosis and its sequelae (91% and 100%, respectively).…”

“…BAE is a well-established procedure used to control massive hemoptysis (5,10,11). However, few reports have addressed the outcomes in the control of hemoptysis due to tuberculosis.…”

Controle da hemoptise maciça com broncoscopia rígida e soro fisiológico gelado

“…Somente o exame endoscópico localiza com certeza o sangramento. (24)(25)(26)(27)(28)(29)(30)(31) Garzon et al, (21) com broncoscopia rígida, identificaram o sítio da hemoptise em 74 (100%) pacientes. A literatura mostra 85% a 100% de acertos.…”

“…(24)(25)(26)(32)(33)(34)(35)(36) Remy et al, (24)(25)(26) com a embolização das artérias brôn-quicas, obtiveram o controle imediato da hemoptise maciça em 85% dos pacientes.…”

The impact of coinfection with human immunodeficiency virus and pulmonary tuberculosis on the success of bronchial artery embolisation

“…The role of bronchial artery embolisation (BAE) in the management of haemoptysis has been extensively investigated internationally [4][5][6][7][8][9][10][11][12][13][14][15] and locally [16]. Regardless of the aetiology, BAE is at best a palliative procedure [3,17] to staunch the haemoptysis until definitive intervention is performed to prevent relapse.…”