J Korean Radiol Soc.  1988 Apr;24(2):187-195. 10.3348/jkrs.1988.24.2.187.

Bronchial artery embolization in the management of hemoptysis

• Kim JC
• Kim YC
• Ryu CW
• Suh KJ
• Kim TH
• Kim YJ
• Kang DS
• Jung TH

• KMID: 2359280
• DOI: http://doi.org/10.3348/jkrs.1988.24.2.187

Abstract

Transcatheter embolization of bronchial arteries and non-bronchial systemic collaterals appears to be a wellaccepted means of accomplishing temporary or permanent hemostasis in the management of massive or chronicre current hemoptysis. We have performed 37 embolization procedures on 31 hemoptysis patients at our hospital through the period of July 1986 to December 1987(18 months). The results were as follows: 1. The causes of hemoptysis were pulmonary tuberculosis(22 cases), bronchiectasis(7 cases), aspergillosis(1 case) and chronic bronchitis(1 case). 2. The embolized vessels responsible for hemoptysis were the bronchial arteries 39(57.5%) and/or the nonbronchial systemic collaterals 30(43.5%). 3. Rebleeding occurred in 6 out of 15 cases of chronicre current hemoptysis, in 3 out of 5 cases of massive hemoptysis of over 600ml per day, and occurred most oftenwithin 2 weeks after embolization. 4. A to fifteen month follow-up showed no further hemoptysis in 26 cases. The success rate of these embolization procedures was therfore 83.9%.

MeSH Terms

Bronchial Arteries*
Follow-Up Studies
Hemoptysis*
Hemostasis
Humans