2005 Volume 56 Issue 2 Pages 142-147
A control of hemoptysis has been achieved with bronchoscopic techniques, bronchial artery embolization (BAE), or lung resection. The best medical treatment has been chosen for each. In our hospital, BAE was selected as the preferred the medical treatment for hemoptysis. BAE was carried out in 60 patients between 1997 and February 2004. Although transient chest discomfort was recognized in three patients, there were no complications relevant to BAE. There was bronchiectasis with the basic disease in 21 patients. The number of those well controlled after one BAE was 48 patients (80%), while after two BAE, 9 patients (15%) obtained well-controlled hemoptysis. BAE was not successful in controlling hemoptysis in 3 patients. Among them 2 are being observed and one patient was administered separation of the bronchial artery and resection of the lower right lobe. Presently we are configuring 3-dimensional images of the bronchial artery according to imaging CT, considering of the form of the metallic coil, and introducing IVR-CT/angio system etc., for improvement in the results of and prevention of complications with BAE.
