Hemoptysiscould bea life-threatening condition. The definition is controversial but generally,
Authors define massivehemoptysisas any volume of expectorated blood that can cause respiratory failure. Etiologies vary widely based on demographics.
infectious causes predominate in developing countries,
and cystic fibrosis predominates among children of European descent.
and chronic infection are the most common causes.
Treatment begins with...
Massivehemoptysisis regarded as a potentially lethal condition that requires immediate action. Although minorhemoptysisis frequently encountered by most clinicians,
massivehemoptysisin far less frequent and most physicians are not prepared to manage this time-sensitive clinical presentation in a systematic and timely fashion.Hemoptysis of as little as 300 mL is considered massive and can lead to death by asphyxiation. The vast majority of cases of massive hemoptysis are caused by bronchial...
Findings and procedure details
The interventional radiologist starts the procedure with puncture of the right common femoral artery using the Seldinger technique,
and a 5-French (F) sheath insertion. Thebronchial arteries is usuallyselected witha Cobra catheterand an angiography isperformed showing increased vascularity.
Usually,no active extravasation of contrast material is shown by angiograhy. A 3F microcatheter is used so as to super-selectively catheterizebronchial arteries.
Embolization isperformed by injection of...
Massivehemoptysisis an uncommon and severe conditionin childhood and in adult Patients.On the one hand,
embolizationcan be a treatment option in children with abnormal vasculature bleeding and can be repeated safely when needed.On the other hand,
endovascularembolization is the gold standard treatment in case of adult Patients.
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Bronchial artery embolization for hemoptysis due to benigndisease: immediate and long-term results.
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