Massive Hemoptysis: Control by Transcatheter Bronchial Artery Embolization

Massive hemoptysis (600 ml in 48 hours) has an ominous prognosis with a mortality of 50 to 100% in medically treated patients and up to 35% in patients undergoing operation. Surgical resection has been the procedure of choice in patients with massive hemoptysis. Those with a contraindication to oper...

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Published inThe Annals of thoracic surgery Vol. 32; no. 4; pp. 392 - 400
Main Authors Magilligan, Donald J., Ravipati, Seetaramaiah, Zayat, Pierre, Shetty, Puranchander C., Bower, George, Kvale, Paul
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.10.1981
Subjects
Adult
Aged
Bronchial Arteries
Catheterization
Embolization, Therapeutic
Female
Hemoptysis - diagnostic imaging
Hemoptysis - etiology
Hemoptysis - therapy
Humans
Lung Diseases - complications
Lung Neoplasms - complications
Male
Middle Aged
Radiography
Tuberculosis, Pulmonary
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Summary:Massive hemoptysis (600 ml in 48 hours) has an ominous prognosis with a mortality of 50 to 100% in medically treated patients and up to 35% in patients undergoing operation. Surgical resection has been the procedure of choice in patients with massive hemoptysis. Those with a contraindication to operation present a particularly frustrating problem. We have treated 7 such patients with massive hemoptysis by transcatheter bronchial artery embolization. In all 7, the bleeding was arrested. Two patients died of recurrent hemoptysis, 1 ten days and the other 2 months following embolization, and 5 are well 1 month to one year later. Transcatheter bronchial artery embolization is a valuable therapeutic modality in patients with massive hemoptysis. However, the procedure is palliative, and, therefore, elective resection must be considered as definitive treatment in those patients who have no contraindication to operation.
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ISSN:0003-4975
1552-6259
DOI:10.1016/S0003-4975(10)61762-6