scholarly journals Massive haemoptysis caused by spontaneous rupture of a bronchial artery.

Thorax ◽  
1988 ◽  
Vol 43 (1) ◽  
pp. 71-72 ◽  
Author(s):  
E A Sheffield ◽  
J Moore-Gillon ◽  
A R Murday ◽  
B J Addis
2013 ◽  
Vol 17 (2) ◽  
pp. 68-69
Author(s):  
Matthys Johannes Van Wyk ◽  
E Loggenberg

Chronic pulmonary tuberculosis may present as massive haemoptysis. Haemoptysis usually originates from the bronchial artery but the pulmonary artery might be the culprit vessel in recurrent haemoptysis. We present a case where bronchial artery embolisation had to be augmented by pulmonary artery coil embolisation for a Rasmussen's aneurysm after recurrent haemoptysis. In cases where recurrent haemorrhage occurs, sources other than the bronchial artery should be considered.


2020 ◽  
Vol 6 (1) ◽  
pp. 107-117
Author(s):  
Russell Frood ◽  
Shishir Karthik ◽  
Saeed Mirsadraee ◽  
Ian Clifton ◽  
Karen Flood ◽  
...  

2016 ◽  
Vol 05 (01) ◽  
pp. 18-20 ◽  
Author(s):  
Zhimin Wang ◽  
Chenghua Xu ◽  
Xiaoxiao Ding ◽  
Jinying Chen ◽  
Huaping Xin

2017 ◽  
Vol 6 (47) ◽  
pp. 3624-3628
Author(s):  
Siddharth Prakash ◽  
Kavita Saggar ◽  
Vikram Narang

2021 ◽  
Vol 8 (1) ◽  
pp. e000985
Author(s):  
Martha Dohna ◽  
Diane Miriam Renz ◽  
Florian Stehling ◽  
Christian Dohna-Schwake ◽  
Sivagurunathan Sutharsan ◽  
...  

IntroductionMassive haemoptysis is a life-threatening event in advanced cystic fibrosis (CF) lung disease with bronchial artery embolisation (BAE) as standard of care treatment. The aim of our study was to scrutinise short-term and long-term outcomes of patients with CF and haemoptysis after BAE using coils.MethodsWe carried out a retrospective cohort study of 34 adult patients treated for massive haemoptysis with super selective bronchial artery coil embolisation (ssBACE) between January 2008 and February 2015. Embolisation protocol was restricted to the culprit vessel(s) and three lobes maximum. Demographic data, functional end-expiratory volume in 1 s in % predicted (FEV1% pred.) and body mass index before and after ssBACE, sputum colonisation, procedural data, time to transplant and time to death were documented.ResultsPatients treated with ssBACE showed significant improvement of FEV1% pred. after embolisation (p=0.004) with 72.8% alive 5 years post-ssBACE. Mean age of the patients was 29.9 years (±7.7). Mean FEV1% pred. was 45.7% (±20.1). Median survival to follow-up was 75 months (0–125). Severe complication rate was 0%, recanalisation rate 8.8% and 5-year-reintervention rate 58.8%. Chronic infection with Pseudomonas aeruginosa was found in 79.4%, Staphylococcus areus in 50% and Aspergillus fumigatus in 47.1%.DiscussionssBACE is a safe and effective treatment for massive haemoptysis in patients with CF with good results for controlling haemostasis and excellent short-term and long-term survival, especially in severely affected patients with FEV<40% pred. We think the data of our study support the use of coils and a protocol of careful and prudent embolisation.


2020 ◽  
Vol 2 (2) ◽  
pp. 95-100
Author(s):  
Ratih Merdekawati ◽  
◽  
Suryanti Pratiwi ◽  
Ahmad Bayhaqi ◽  
◽  
...  

Background: Haemoptysis is one of vascular lesions in TB sequelae, with incidence of 28% from 919 cases. It may be recurrent, massive and might cause mortality if left untreated. Embolization procedure with glue and coil can be an alternative to treat patient with recurrent hemoptysis. Case Report: We reported a case report in Saiful Anwar Malang Hospital, Indonesia, a 34 years old male with intermittent massive haemoptysis. Chest X-ray examination showed Lung Tb far advanced lesion with no acid bacilli found on microbiological examination. Transthoracic FNAB revealed chronic suppurative inflammation, with Cytology sputum Class II. Chest CT Angiography showed Lung TB Far advanced lesions accompanied by mediastinal lymphadenopathy with unsuspecting complications of left supreme intercostal artery aneurysm dd pseudoaneurysm, suggestion embolization. Examination results confirmed the diagnosis of recurrent massive haemoptysis and intercostal artery aneurysm with the history of TB. Embolization procedure was then performed. Conclusion: Angiography CT Scan has better detail in evaluating condition, source, amount, and tract of artery in chest cavity. Bronchial artery embolization as an alternative therapy was found to give better effect of occlusion.


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