Type:
Educational Exhibit
Keywords:
Interventional vascular, Thorax, Arteries / Aorta, CT, CT-Angiography, CT-High Resolution, Arterial access, Embolisation, Puncture, Education and training, Haemorrhage, Pathology
Authors:
A. Paladini1, D. Beomonte Zobel2, E. M. Amodeo1, G. E. Vallati1, G. Pizzi1; 1Rome/IT, 2Roma/IT
DOI:
10.1594/ecr2018/C-0040
Background
Massive hemoptysis is regarded as a potentially lethal condition that requires immediate action.
Although minor hemoptysis is frequently encountered by most clinicians,
massive hemoptysis in 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 artery extravasation, and in these cases,
endovascular embolization is usually employed as a first-line treatment.
The poor pulmonary reserve of these patients usually makes surgical treatment less than optimal.