Radiological Evaluation and Endovascular Treatment of Hemoptysis

Mejía, Alex Roberto Ramírez; Montero, José Vicente Méndez; Vásquez-Caicedo, M. Leyva; Castro, A. Bustos García de; Martínez, B. Cabeza; Domínguez, J. Ferreirós

doi:10.1067/j.cpradiol.2015.07.007

Cited by 13 publications

(4 citation statements)

References 47 publications

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“…Subsequently this can lead to rebleeding and recurrent hemoptysis. Arteries in this area should be systematically searched in order to detect any small BAs that could lead to localized bleeding before catheterization-mediated occlusion [18]. Besides, for the anatomical characteristics of the corresponding branch with a tortuous route and several subbranches, it is more likely to cause a recurrent hemoptysis if they are omitted.…”

Section: Discussionmentioning

confidence: 99%

Potential Factors Affected Safety and Efficacy of Transcatheter Plug Closure for Pediatric Hemoptysis with Anomalous Bronchial Arteries

Kuang

Xiang

et al. 2019

Journal of Interventional Cardiology

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Objective. To evaluate the safety and efficacy of interventional care in pediatric hemoptysis for anomalous bronchial arteries (BAs) and to identify the potential factors resulting in hemoptysis recurrence. Methods. 20 children complained of hemoptysis were diagnosed with anomalous BAs. All patients received transcatheter plug occlusion in Department of Cardiology, Children’s Hospital of Chongqing Medical University. The safety and efficacy were evaluated according to clinical symptoms and images monitoring of enrolled subjects grouped as recurrence group and nonrecurrence group. The potential factors causing hemoptysis recurrence were reviewed and summarized. Results. No deaths were recorded in a follow-up. Otherwise, hemoptysis recurrence was found in 8 subjects for 14 times, accounting for about 40%. Compared with nonrecurrence group, it indicated a statistical significance in hemoglobin levels (P=0.049), mycoplasma pneumonia particle assays (MP-PA) titers (P=0.030), and number of anomalous BAs (P=0.020). Meanwhile, 50% recurrent scenarios were associated with a respiratory infection by microbiological assessment before transcatheter plug occlusion. The repeat occlusion was applied for unclosed BAs leading to visual recurrent hemoptysis, the average interval time of which was 5.4 ± 3.6 mon. Conclusion. The data from this retrospective study have shown that transcatheter plug occlusion is a relatively safe procedure with a low mortality. The number of abnormal BAs has been identified as a highly significant predictor of recurrence, and the role of MP and other potential factors should be verified in a multicenter, larger sample size, and randomized controlled trial.

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Section: Discussionmentioning

confidence: 99%

Potential Factors Affected Safety and Efficacy of Transcatheter Plug Closure for Pediatric Hemoptysis with Anomalous Bronchial Arteries

Kuang

Xiang

et al. 2019

Journal of Interventional Cardiology

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“…In people, although severe hemoptysis can be associated with a bronchoscopic biopsy, it is most often spontaneous . For hemorrhage associated with biopsy, management centers around patient stabilization and maintenance of a patent airway .…”

Section: Discussionmentioning

confidence: 99%

Fatal hemoptysis after bronchoscopic biopsy in a dog

Greenway

Rozanski

Johnson

et al. 2019

Veterinary Internal Medicne

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An 8‐year‐old 24.6 kg mixed breed dog underwent bronchoscopy for evaluation of a persistent progressive cough. Bronchoscopy documented a markedly thick and irregular, cobblestone appearance of the mucosa. A bronchoscopic biopsy was obtained; immediately after the biopsy, a large amount of hemorrhage poured from the endotracheal tube. Multiple efforts to control the hemorrhage were unsuccessful and the dog suffered a cardiopulmonary arrest and could not be revived. A necropsy was performed, which was significant for pallor, evidence of prior heartworm disease, prominent bronchial arteries, and erosion of the submucosal vessels at the site of the biopsy. The cause of death was hemorrhage associated with transbronchial biopsy of an enlarged bronchial artery associated with heartworm disease. This report describes a rare complication of a routine diagnostic procedure.

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“…Various causes of hemoptysis, including pulmonary tuberculosis, lung malignancy, bronchiectasis, and aspergillosis, are linked to a higher likelihood of hemoptysis recurrence, claim multiple studies (18,19) . In addition, compared to individuals with bronchiectasis, chronic TB patients exhibited more extensive NBSA blood supply and higher recurrence rates.…”

Section: Regarding Pulmonary Pathologymentioning

confidence: 99%

Role of Umbilical Cord C- Peptide Level in Early Detection of Hypoglycemia in Infant of Diabetic Mother

Assar¹,

Rachwan²,

Khalifa³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Embolization of the bronchial artery is one of the non-surgical successful measures to treat hemoptysis without surgery. Aim of the Work:To evaluate the technique, efficacy, and safety of Bronchial Artery Embolization (BAE) in patients with hemoptysis due to cavitary lung lesions. Patients and Methods: This study was a reconstructive (retrospective and prospective) cohort study and included 20 candidates who presented with hemoptysis due to cavitary lung lesions and were refractory to the supportive treatment measures during the period between March 2021 and September 2021. The study population was referred from the Chest Department to Interventional Radiology Unit, at Ain Shams University Hospitals. Results: Massive hemoptysis was seen in 15 patients and recurrent mild-moderate in 5 patients. On imaging, cavitary lesions were seen on the left side in 8 patients, the right side in 8 patients, and bilateral involvement in 4 patients. Bronchiectatic changes were the predominant pathology seen in 6 patients. Immediate success was achieved in 20 patients, while recurrence within one month was noted in 4 patients. 13 patients reported experiencing minor problems like chest pain, but no serious ones like spinal cord ischemia. Conclusion:When a patient has hemoptysis, BAE is a standard technique that is both safe and effective with a very low complication rate.

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Radiological Evaluation and Endovascular Treatment of Hemoptysis

Cited by 13 publications

References 47 publications

Potential Factors Affected Safety and Efficacy of Transcatheter Plug Closure for Pediatric Hemoptysis with Anomalous Bronchial Arteries

Potential Factors Affected Safety and Efficacy of Transcatheter Plug Closure for Pediatric Hemoptysis with Anomalous Bronchial Arteries

Fatal hemoptysis after bronchoscopic biopsy in a dog

Role of Umbilical Cord C- Peptide Level in Early Detection of Hypoglycemia in Infant of Diabetic Mother

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