CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S29-S30
DOI: 10.1055/s-0041-1730727
Abstract

The Safety and Short-Term Efficacy of Bronchial Artery Embolization for Management of Massive Hemoptysis (Single Centre Experience)

Rana Tarek Mohamed Khafagy
Ain Shams University Hospital, Cairo, Egypt
,
Karim Abd El-Tawab
Ain Shams University Hospital, Cairo, Egypt
› Author Affiliations

Background: Massive hemoptysis has been described as the expectoration of an amount of blood ranging from 100 mL to more than 1000 mL over a period of 24 h. It may result from various causes the most common of which among Egyptian practice is bronchiectasis followed by bronchogenic carcinoma. Methods: 23 patients (18 males and 5 females) were referred to IR Unit Ain Shams University Hospitals for the management of massive hemoptysis during the period from (January 2015 to November 2017). Median age was 59.5 years (range: 15–77 years). Causes were bronchiectasis in 14, bronchogenic Carcinoma in 5, tuberculosis in 2, and cystic fibrosis in 2 cases. Computed tomography chest was done for all patients. Right femoral vascular access using a 6F sheath was done, then selective probing of thoracic aortic side-branches was done using 4F Cobr catheter with selective bronchial angiography. Identifiable bleeders were embolized otherwise, empiric embolization of arteries supplying the diseased segment was done. Spherical particles 300–700 μm were used. 2.7F microcatheter was used for superselective embolization if the artery was smaller than the mother catheter. Results: In 13 (57%) of the patients, bleeder was detected. In 10 (43%) patients, no pathologic arteries were detected. Selected vessel stasis was achieved in all patients. During 1st month, bleeding totally stopped in the 13 patients with identifiable bleeders as well as 9 of the empiric embolization group. One patient with bronchogenic carcinoma developed massive hemoptysis 2 days after the embolization and was scheduled for urgent reevaluation angiography and embolization; however, patient died from disseminated intravascular coagulation and multisystem organ failure before the second procedure. No major complications occurred. Chest pain and mild postembolization syndrome took place in most of the patients. Conclusion: In this limited series, bronchial artery embolization is an effective option in management of severe hemoptysis with high hemostasis and low complication rates



Publication History

Article published online:
11 May 2021

© 2018. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India