Bronchial Artery Embolization for Treatment of Life-Threatening Hemoptysis

January K. Lopez; Hsin-Yi Lee

doi:10.1055/s-2006-948759

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2006; 23(3): 223-229
DOI: 10.1055/s-2006-948759

Bronchial Artery Embolization for Treatment of Life-Threatening Hemoptysis

January K. Lopez¹ , Hsin-Yi Lee²

¹Department of Radiology, University of California at Los Angeles
²Department of Radiology, VA Greater Los Angeles Healthcare System, West Los Angeles, California

Abstract

ABSTRACT

Massive hemoptysis is an emergent and life-threatening condition with a broad range of underlying causes. Fortunately, massive hemoptysis accounts for a minority of cases of hemoptysis, ~5%. Unlike hemorrhage in other areas of the body, the primary cause of death from pulmonary hemorrhage is most commonly asphyxiation rather than exsanguination. Given the limited capacity for the lung to preserve oxygen transfer in the setting of massive hemoptysis, a rapid and effective method for controlling hemorrhage is essential to minimize death in patients demonstrating respiratory compromise. Since its introduction in 1973, bronchial artery embolization has proven to be a safe and effective tool for the treatment of massive hemoptysis and is now considered the treatment of choice, with initial success rates ranging from 77 to 94%. The long-term control rate of hemoptysis ranges from 70 to 85% and is largely a function of the degree of inflammation and the natural progression of the underlying disease. This article reviews the current literature on bronchial artery embolization for the treatment of massive hemoptysis.

KEYWORDS

Hemoptysis - massive hemoptysis - bronchial artery embolization - embolization

Full Text

References

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Hsin-Yi LeeM.D.

Department of Radiology, Mail code 114, VA Greater Los Angeles Healthcare System, West Los Angeles

11301 Wilshire Blvd., Los Angeles, CA 90073