Radiology, Vol 163, 361-365, Copyright © 1987 by Radiological Society of North America

ARTICLES

Transcatheter embolization in the management of pulmonary hemorrhage

JE Rabkin, VI Astafjev, LN Gothman and YG Grigorjev

A group of 306 patients with acute pulmonary hemorrhage were evaluated by means of bronchial arteriography and treated with transcatheter embolization. Specific causes for bleeding included lung abscess, chronic pneumonia, tuberculosis, lung cancer, and bronchiectasis. In 120 patients the hemoptysis was massive, with volumes exceeding 500 ml/day. The majority (n = 225) were treated during peak hemorrhage. Embolization was performed with one of three methods: particulate embolization with polyurethane or velour, obturation with the angiographic catheter combined with peripheral embolization by means of infused albumin macroaggregates, and regional infusion of sclerosing agents. Effective hemostasis was obtained initially in 278 patients (90.8%), including 87.5% of those treated during peak hemorrhage. In 26 of 28 cases without initial response, the pulmonary artery was the source of bleeding. Recurrent bleeding, within 1-4 days, requiring surgery was observed in 39 patients with initially successful hemostasis. Of 158 patients who were treated without surgery, subsequent episodes of hemoptysis occurred in 36. Combined methods of embolization may improve the efficacy of treatment of operable and inoperable patients with lung disease complicated by hemorrhage.

This article has been cited by other articles:

				H S In, J-I Bae, A-W Park, Y W Kim, and S J Choi Bronchial artery arising from the left gastric artery in a patient with massive haemoptysis. Br. J. Radiol., November 1, 2006; 79(947): e171 - e173. [Abstract] [Full Text] [PDF]

				M. Remy-Jardin, N. Bouaziz, P. Dumont, P.-Y. Brillet, J. Bruzzi, and J. Remy Bronchial and Nonbronchial Systemic Arteries at Multi-Detector Row CT Angiography: Comparison with Conventional Angiography Radiology, December 1, 2004; 233(3): 741 - 749. [Abstract] [Full Text] [PDF]

				H. J. Chun, J. Y. Byun, S.-S. Yoo, and B. G. Choi Added Benefit of Thoracic Aortography After Transarterial Embolization in Patients with Hemoptysis Am. J. Roentgenol., June 1, 2003; 180(6): 1577 - 1581. [Abstract] [Full Text] [PDF]

				P. Bhattacharyya, A. Dutta, A. N. Samanta, and S. R. Chowdhury New Procedure: Bronchoscopic Endobronchial Sealing* : A New Mode of Managing Hemoptysis Chest, June 1, 2002; 121(6): 2066 - 2069. [Abstract] [Full Text] [PDF]

				K. L. Swanson, C. M. Johnson, U. B. S. Prakash, M. A. McKusick, J. C. Andrews, and A. W. Stanson Bronchial Artery Embolization : Experience With 54 Patients Chest, March 1, 2002; 121(3): 789 - 795. [Abstract] [Full Text] [PDF]

				E. I. Hsiao, C. M. Kirsch, F. T. Kagawa, J. H. Wehner, W. A. Jensen, and R. B. Baxter Utility of Fiberoptic Bronchoscopy Before Bronchial Artery Embolization for Massive Hemoptysis Am. J. Roentgenol., October 1, 2001; 177(4): 861 - 867. [Abstract] [Full Text] [PDF]

				B. Ghaye and R.F. Dondelinger Imaging guided thoracic interventions Eur. Respir. J., March 1, 2001; 17(3): 507 - 528. [Abstract] [Full Text] [PDF]

				E. F. Haponik, A. Fein, and R. Chin Managing Life-Threatening Hemoptysis : Has Anything Really Changed? Chest, November 1, 2000; 118(5): 1431 - 1435. [Abstract] [Full Text] [PDF]

				H. Mal, I. Rullon, F. Mellot, O. Brugiere, C. Sleiman, Y. Menu, and M. Fournier Immediate and Long-term Results of Bronchial Artery Embolization for Life-Threatening Hemoptysis Chest, April 1, 1999; 115(4): 996 - 1001. [Abstract] [Full Text] [PDF]

				H.-K. Hsu and J.-M. Su Giant Bronchoesophageal Fistula: A Rare Complication of Bronchial Artery Embolization Ann. Thorac. Surg., December 1, 1995; 60(6): 1797 - 1798. [Abstract] [Full Text]

				M. Chino, T. Kawaguchi, T. Sakai, and T. Okuno Intercostal-to-Pulmonary Arterial Anastomosis, Complicated by High-Output Heart Failure: Case Report Angiology, March 1, 1991; 42(3): 256 - 260. [Abstract] [PDF]