Endobronchial Sclerotherapy for Management of Active Hemoptysis

Shah, Naveed Nazir; Bhargava, Rakesh; Ahmed, Zuber; Syed, Quibtiya K.; Pandey, Deepak; Shameem, Mohammad; Bachh, Arshad Altaf; Dar, Khurshid Ahmad

doi:10.1378/chest.134.4_meetingabstracts.p12001

Cited by 3 publications

(2 citation statements)

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“…Glue therapy is found to be a highly safe, effective, and rapid method of controlling hemoptysis[ 2 3 ] and no major side effects are reported by its use. [ 4 ] To conclude, endobronchial gluing is a relatively new technique for controlling hemoptysis which can be an effective, economic, and alternative therapy.…”

Section: Discussionmentioning

confidence: 99%

Glue therapy in hemoptysis: A new technique

Chawla¹,

Madan²,

Mehta³

et al. 2012

Lung India

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Hemoptysis is defined as the spitting of blood derived from the lungs or bronchial tubes as a result of pulmonary or bronchial hemorrhage. There is a large chunk of patients with hemoptysis who do not respond to conservative treatment including use of cough suppressants, antibiotics, vitamin C, hemostatics, and anxiolytics. The advanced management of such a situation is bronchial artery embolization (BAE) or open thoracic surgery, which is often not possible. We have attempted a cheap, effective, and safe alternative in the form of intrabronchial instillation of glue (n-butyl cyanoacrylate) under vision with the help of a therapeutic video bronchoscope (OLYMPUS T-180). The glue is instilled through a polyethylene catheter placed through the working channel of the video bronchoscope.

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Section: Discussionmentioning

confidence: 99%

Glue therapy in hemoptysis: A new technique

Chawla¹,

Madan²,

Mehta³

et al. 2012

Lung India

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“…Intrabronchial interventions are usually used to either control bleeding immediately or to buy time for definitive procedure later. [ 2 ] Biological glue has been used successfully to seal pleural leaks and rarely to control hemoptysis. [ 3 ] Cyanoacrylate glue is a biocompatible material, which has been used to embolize arterial aneurysms.…”

Section: Introductionmentioning

confidence: 99%

Glued lungs: Sticky and tricky

et al. 2016

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We report a male patient who underwent bronchoscopic instillation of glue to control moderate hemoptysis which later led to the development of postobstructive pneumonia and extensive foreign body reaction in the bronchial wall and the lung distal to the glue application. He continued to have intermittent hemoptysis and underwent bronchial artery embolization. However, recurrent moderate hemoptysis eventually led to pneumonectomy, which showed severe foreign body reaction in bronchi- and post-obstructive changes in the lung parenchyma and the draining lymph nodes. This case highlights a serious complication of intrabronchial cyanoacrylate gluing to control bleeding in hemoptysis, which might warrant its very cautious use in moderate hemoptysis although surgical modality is considered the definitive treatment in life-threatening hemoptysis.

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