Abstract
Percutaneous embolization of the bronchial arteries to control massive or recurrent hemoptysis has become an accepted procedure, especially in treating patients with chronic pulmonary disease who are poor candidates for lung resection. Nonbronchial systemic collateral arteries and pulmonary arteries may contribute significantly to pulmonary hemorrhage, but embolization of these vessels has not been stressed in recent literature. When embolization of the bronchial artery fails to control hemoptysis, nonbronchial systemic collateral arteries should be embolized. If no systemic collaterals are present, then embolization of segmental pulmonary arteries may prove helpful.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Editorial (1987) Life-threatening haemoptysis. Lancet, June 13: 1354–1355
Crocco JA, Rooney JJ, Fankushen DS, Dibenedetto RJ, Lyons HA (1986) Massive hemoptysis. Arch Intern Med 121:495–498
Sehhat S, Oreizie M, Moinedine K (1978) Massive pulmonary hemorrhage: Surgical approach as choice of treatment. Ann Thorac Surg 25:12–15
Remy J, Arnaud A, Fardou H, Giraud R, Voisin C (1977) Treatment of hemoptysis by embolization of bronchial arteries. Radiology 122:33–37
Uflacker R, Kaemmerer M, Picon PD, Rizzon CF, Neves CM, Oliveira ES, Oliveira ME, Azevedo SN, Ossanai K (1985) Bronchial artery embolization in the management of hemoptysis: Technical aspects and long-term results. Radiology 157:637–644
Rabkin JE, Astafjev VI, Gothman LN, Grigorjev YG (1987) Transcatheter embolization in the management of pulmonary hemorrhage. Radiology 163:361–365
Trento A, Estner SM, Griffith BP, Hardesty RL (1985) Massive hemoptysis in patients with cystic fibrosis: Three case reports and a protocol for clinical management. Ann Thorac Surg 39:254–256
Vujic I, Pyle R, Hungerford GD, Griffin CN (1982) Angiography and therapeutic blockade in the control of hemoptysis. Radiology 143:19–23
Fellows K, Khaw KT, Schuster S, Shwachman H (1979) Bronchial artery embolization in cystic fibrosis: Technique and long-term results. J Pediatr 95:959–963
Keller FS, Rosch J, Loflin TG, Nath PH, McElvein RB (1987) Nonbronchial systemic collateral arteries: Significance in percutaneous embolotherapy for hemoptysis. Radiology 164:687–692
Kardijiev V, Symeonov A, Chankov I (1974) Etiology, pathogenesis and prevention of spinal cord lesions in selective angiography of the bronchial and intercostal arteries. Radiology 112:81–82
Remy J, Lemaitre I, Lafitte JJ, Vilain MO, Michel JS, Steenhouwer F (1984) Massive hemoptysis of pulmonary arterial origin: Diagnosis and treatment. AJR 143:963–969
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hickey, N.M., Peterson, R.A., Leech, J.A. et al. Percutaneous embolotherapy in life-threatening hemoptysis. Cardiovasc Intervent Radiol 11, 270–273 (1988). https://doi.org/10.1007/BF02577033
Issue Date:
DOI: https://doi.org/10.1007/BF02577033