Value of fiberoptic bronchoscopy and angiography for diagnosis of the bleeding site in hemoptysis

Saumench, J.; Escarrabill, Joan; Padró, L; Montana, J. R. Prieto; Clariana, A.; Cantó, A.

doi:10.1016/0003-4975(89)90087-8

Cited by 47 publications

(24 citation statements)

References 8 publications

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“…The optimal timing for a diagnostic FOB in hemoptysis remains a controversial issue [1,59]. Although the likelihood of visualizing the site of bleeding was significantly better with early versus delayed FOB, the timing of the procedure did not alter therapeutic decisions or clinical outcome in nonmassive hemoptysis [1,59,60,61]. It is crucial, however, to recognize the limitations of FOB in massive, life-threatening hemoptysis.…”

Section: Diagnosismentioning

confidence: 99%

Massive Hemoptysis: An Update on the Role of Bronchoscopy in Diagnosis and Management

Sakr

Dutau²

2010

Respiration

223

187

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Hemoptysis is frequently encountered in clinical practice, and may be the presenting symptom of a number of diseases. Although massive hemoptysis accounts for only 5–15% of episodes, it should always be considered as a life-threatening condition that warrants effective assessment and management. In this article, we review the literature with regard to the definition, etiology, epidemiology, pathophysiology, diagnosis and treatment of massive hemoptysis, with special emphasis on the role of bronchoscopy as a diagnostic and therapeutic tool. We briefly present the circumstances under which the use of rigid bronchoscopy should be preferred for controlling massive bleeding. Moreover, we address the crucial importance of multidisciplinary collaboration by illustrating the roles of endovascular therapy and surgery in the optimal management of massive hemoptysis.

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Section: Diagnosismentioning

confidence: 99%

Massive Hemoptysis: An Update on the Role of Bronchoscopy in Diagnosis and Management

Sakr

Dutau²

2010

Respiration

223

187

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“…The present rate of localization with fibreoptic bronchoscopic examination is only 25-75% [7]. Moreover, bronchoscopic examination is not practicable for patients with massive haemoptysis.…”

Section: Resultsmentioning

confidence: 92%

Bronchial Arteriography and Transcatheter Embolization in Management of Severe Haemoptysis

Mohan¹,

Sangameswaran²,

Prasad³

et al. 1999

Medical Journal Armed Forces India

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The purpose of this study was to assess the effectiveness of bronchial arteriography and transcatheter embolization in treatment of severe haemoptysis. Forty five patients with severe haemoptysis were evaluated by means of bronchial arteriography and study of non bronchial systemic arteries and underwent transcatheter embolization. Specific causes of haemoptysis were Tuberculosis (n=37), Tuberculosis with AspergiUoma (n=4) and bronchiectasis (n=4). Gel foam pellets and polyvinyl alcohol (PVA) particles were used as embolic material In 36 patients and 9 patients respectively. The anglographic signs of haemorrhage encountered were extravasation of contrast in 2 patients (4.4%), hypervascularisation in 42 (93.3%), broncho-pulmonary shunt in 13 (28.8%) and bronchial artery aneurysm in 1 patient (2.2%). Immediate control of bleeding occurred in 44 (97.7%) of 4S patients after embolization. Recurrent haemoptysis occurred in 4 cases (11.9%) more than 1 month after embolization but bleeding was less severe, than before treatment. This study suggests that bro:1chial artery embolization is an effective method of managing patients with severe haemoptysis, minor bleeding recurrences appear to be relatively infrequent. MJAFII999; SS: 189-192KEYWORDS: Embolization; Haemoptysis; Lung haemorrhage. males),their ages ranged from 22 to 62 years and averaged 29.6 years. The underlying causes included Tuberculosis (0=37), Tuberculosis with Aspergilloma (n=4) and Bronchiectasis (n=4) (Table I). Cases included in this study were those who had recurrent bouts of haemoptysis in thai there was loss of more than 250 ml blood in 24 hours.Transfemorol bronchial and or intercostal arteriography was perfonned using standard Seldinger technique using 4.5 Fr Shephard's Crook catheter and 5 Fr double angle renal and Cobra visceral catheters. The material used was gelfoam sponge cut into 2-3 mm cubes in 36 patients whereas in the rest of the patients, polyvinyl alcohol particle of more than 500~were used. Bronchial arteries were selected for embolization on the basis of arteriographic infonnation. In addition to bronchial arteries, intercostal arteries and internal mammary arteries, costocervical U1Ink, superior thoracic and Imeral thoracic arteries were also cmbolized.The effectiveness of embolizmion was detennined at short tenn (less than 1 month) and long tenn (more than I month) with either

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“…A. E preceding surgery is not well defined. [5][6][7] Other treatment modalities for haemoptysis include ice cold lavage of the air ways, instillation of vasoconstrictors into the bronchial tree, radiotherapy in case of massive haemoptysis in non resectable bronchial carcinoma and instillation of intravenous anti-fungal agents into the mycetoma containing cavities of the lung. These measures were done on small group of patients and appear insignificant for routine usage.…”

Section: Introductionmentioning

confidence: 99%

A study of lung resection for haemoptysis with or without pre-operative bronchial artery embolisation

2016

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Value of fiberoptic bronchoscopy and angiography for diagnosis of the bleeding site in hemoptysis

Cited by 47 publications

References 8 publications

Massive Hemoptysis: An Update on the Role of Bronchoscopy in Diagnosis and Management

Massive Hemoptysis: An Update on the Role of Bronchoscopy in Diagnosis and Management

Bronchial Arteriography and Transcatheter Embolization in Management of Severe Haemoptysis

A study of lung resection for haemoptysis with or without pre-operative bronchial artery embolisation

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