Document Detail

Massive hemoptysis: control by transcatheter bronchial artery embolization.
MedLine Citation:
PMID:  7305525     Owner:  NLM     Status:  MEDLINE    
Massive hemoptysis (600 ml in 48 hours) has an ominous prognosis with a mortality of 50 to 100% in medically treated patients and up to 35% in patients undergoing operation. Surgical resection has been the procedure of choice in patients with massive hemoptysis. Those with a contraindication to operation present a particularly frustrating problem. We have treated 7 such patients with massive hemoptysis by transcatheter bronchial artery embolization. In all 7, the bleeding was arrested. Two patients died of recurrent hemoptysis, 1 ten days and the other 2 months following embolization, and 5 are well 1 month to one year later. Transcatheter bronchial artery embolization is a valuable therapeutic modality in patients with massive hemoptysis. However, the procedure is palliative, and, therefore, elective resection must be considered as definitive treatment in those patients who have no contraindication to operation.
D J Magilligan; S Ravipati; P Zayat; P C Shetty; G Bower; P Kvale
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  32     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1981 Oct 
Date Detail:
Created Date:  1982-01-20     Completed Date:  1982-01-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  392-400     Citation Subset:  AIM; IM    
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MeSH Terms
Bronchial Arteries*
Embolization, Therapeutic*
Hemoptysis / etiology,  radiography,  therapy*
Lung Diseases / complications
Lung Neoplasms / complications
Middle Aged
Tuberculosis, Pulmonary

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