Arterial embolization as the management of massive hemoptysis.

Kang, Jeong Seong; Jung, Byung Hak; Cho, Kyoo Hye; Chang, Keun; Jeong, Eun Taik; Roh, Byung Suk

doi:1993.40.2.165

Tuberc Respir Dis > Volume 40(2); 1993 > Article

Original Article

Tuberculosis and Respiratory Diseases 1993;40(2):165-170.
DOI: https://doi.org/10.4046/trd.1993.40.2.165 Published online April 1, 1993.

Arterial embolization as the management of massive hemoptysis.

Jeong Seong Kang¹, Byung Hak Jung¹, Kyoo Hye Cho¹, Keun Chang¹, Eun Taik Jeong¹, Byung Suk Roh²

¹Department of Internal Medicine, Wonkwang University College of Medicine, Iri, Korea
²Department of Radiology, Wonkwang University College of Medicine, Iri, Korea

Abstract

Background
Massive hemoptysis that may induce acute asphyxia can be a fatal problem. Bronchial arteries and other nonbronchial systemic arteries of lungs must be searched by angiography because they are main source of hemoptysis. Arterial embolization is a well-accepted and widely used for management of massive hemoptysis. This study was designed to evaluate the effectiveness of this method
Methods
Prospective analysis was done in 23 cases, that underwent arterial embolization from June 1990 to July 1992. Hemorrhaged arteries were embolized with Gelfoam particles. In cases with severe broad hemorrhagic findings, Coils were added to Gelfoam particles. And they were observed for 6 months at least.
Results
Immediate cessation of hemoptysis was achieved in all cases. Recurrent hemoptysis was observed in 7 cases (30%). The patients with nonbronchial artery hemoptysis had increased tendency of recurrence (6/ 13) than only bronchial arteη hemoptysis (1 / 10) . The 7 cases treated with Coils had not any recurrence.
Conclusion
Arterial embolization in massive hemoptysis is a useful and safe procedure for immediate control. But, the patients with this procedure had a potentiality of recurrence. So diagnostic and therapeutic efforts for underlying causes should be performed.

Key Words: Hemoptysis, Bronchial aπery, Embolization