Massive hemoptysis as an unusual complication of right heart catheterization: Successful treatment with percutaneous stent

Melão, Filipa; Lopes, Ricardo; Rodrigues, Rui; Magalhães, Diogo; Morgado, Paulo Vilares; Silva, João Carlos; Campelo, Manuel; Maciel, Maria Júlia

doi:10.1016/j.repc.2015.07.014

Cited by 3 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Use of glue as an embolic agent decreases the risk of migration compared to coil embolization. Multiple case reports demonstrate the success of endovascular occlusion for the treatment of PAP due to iatrogenic injury during placement of PA catheters (124,125).…”

Section: Vascular Embolizationmentioning

confidence: 99%

Management of life-threatening hemoptysis in the ICU

Charya¹,

Holden²,

Pickering³

2021

J Thorac Dis

View full text Add to dashboard Cite

Life-threatening hemoptysis is commonly encountered in the ICU and its management can be challenging even for experienced clinicians. Depending on the etiology and severity, one can tailor the treatment modality and therapeutic intervention(s). The grading of severity of hemoptysis varies greatly in the literature; however, unlike hemorrhage in other scenarios, small amounts of blood can significantly impair oxygenation and ventilation leading to cardiovascular collapse. Importantly, the initial evaluation and management should focus on airway and hemodynamic stabilization along with maintenance of oxygenation and ventilation. In this review, we discuss commonly encountered etiologies, vascular anatomy, diagnostic evaluation, and therapeutic interventions. We examine the evolving trends in etiologies of life-threating hemoptysis over the years. The role of flexible and rigid bronchoscopy as both a diagnostic and therapeutic modality is explored, as well as the use and indications of several bronchoscopic techniques, such as topical hemostatic agents, endobronchial tamponade, and tranexamic acid (TXA). In addition, we assess the use of multi-row detector computed tomography as the initial rapid diagnostic method of choice and its use in planning for definitive treatment. The efficacy and long-term results of bronchial artery embolization (BAE) are evaluated, as well as indications for surgical intervention. Furthermore, the importance of a multidisciplinary approach is emphasized. The necessary interplay between intensivists, consultative services, and radiologists is described in detail and an algorithmic management strategy incorporating the above is outlined. Given the complexity in management of life-threatening hemoptysis, this paper aims to summarize the available diagnostic and therapeutic methods and provide a standardized approach for the management of patients with this often difficult to treat condition.

show abstract

Section: Vascular Embolizationmentioning

confidence: 99%

Management of life-threatening hemoptysis in the ICU

Charya¹,

Holden²,

Pickering³

2021

J Thorac Dis

View full text Add to dashboard Cite

show abstract

Monitoring Pulmonary Arterial Hypertension Using an Implantable Hemodynamic Sensor

Benza

Doyle

Lasorda

et al. 2019

Chest

View full text Add to dashboard Cite

Right Heart Catheterization-Related Complications

Chen

Shlofmitz

Khalid

et al. 2020

Cardiology in Review

View full text Add to dashboard Cite

Right heart catheterization (RHC) is considered to be the gold standard for the measurement of pulmonary artery pressure and has a class 1 indication to confirm the diagnosis of pulmonary arterial hypertension and to guide treatment decisions. Associated complications with RHC in contemporary practice are uncommon. In this review, we aim to summarize the complications that have been published in case reports or case series with updated management and techniques to prevent and mitigate complications. We searched the PubMed database for the following reports: “right heart catheterization,” “Swan-Ganz catheter,” “pulmonary artery catheter,” “balloon-tip catheter,” and “complication” or “adverse event.” Complications reported in 46 manuscripts were included in the final analysis. After evaluation of all reports, complications were grouped categorically. We found that the most commonly reported access site-related issues were either carotid artery injury or arteriovenous fistula formation, and injury to the tricuspid valve was the most commonly reported catheter-related complication. Our findings suggest that infrequent complications can occur with RHC and can be fatal. The optimal technique should be used to minimize complications. Operators should always be cautious during the procedure and monitor the patient closely.

show abstract

Massive hemoptysis as an unusual complication of right heart catheterization: Successful treatment with percutaneous stent

Abstract: The authors present a case report of successful treatment of pulmonary artery perforation by endovascular stent graft implantation.

Cited by 3 publications

References 11 publications

Management of life-threatening hemoptysis in the ICU

Management of life-threatening hemoptysis in the ICU

Monitoring Pulmonary Arterial Hypertension Using an Implantable Hemodynamic Sensor

Right Heart Catheterization-Related Complications

Contact Info

Product

Resources

About