BRONCHIAL ARTERY EMBOLISATION IN MASSIVE HAEMOPTYSIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 47
Abstract
BACKGROUND Bronchial artery embolisation is a minimally invasive procedure in life-threatening massive haemoptysis due to markedly hypertrophied and fragile bronchial arteries occurring in patients with chronic inflammatory lung diseases such as bronchiectasis, sarcoidosis, tuberculosis, or cystic fibrosis. MATERIALS AND METHODS This case series analysis was conducted in the Department of Radiodiagnosis, Dayanand Medical College and Hospital, Ludhiana, Punjab over a period of three and half years (June 2013 - December 2016). The adult patients (>18 years of age) with massive haemoptysis, managed by embolising branches of bronchial artery were included. RESULTS Of the total 35 patients in which BAE was attempted, immediate control of haemoptysis was seen in 32 (91.4%). On followup, recurrent haemoptysis was seen in 6/30 (20%) patients with major cause of recurrence being fibrocystic changes in 3/6 (50%). CONCLUSION BAE is a safe noninvasive procedure to tackle massive haemoptysis in patients where surgical interventions are contraindicated.
Authors and Affiliations
Siddharth Prakash, Kavita Saggar, Vikram Narang
Keywords
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