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Original ArticleOpen Access
Bronchial Artery Embolization for Hemoptysis
Eurvilaichit C 
,
Supasinsathit T ,
Saenghirunvattana S
,
Supasinsathit T ,
Saenghirunvattana S Background
: Massive hemoptysis is a life-threatening condition. Since treatment from
surgery has high mortality, bronchial artery embolization (BAE) is now safer and may be good for
chronic hemoptysis as well.
Material and Method:
Ten patients (6 male, 4 female) with hemoptysis underwent BAE.
Five patients had massive life-threatening hemoptysis ( 4 tuberculosis and
I
bronchogenic carci-
noma) and 5 had chronic hemoptysis (4 tuberculosis and I bronchogenic carcinoma). All patients
received BAE by transfemoral arterial approach using gelfoam particles and Ivalon as the
embolized materials. Bronchial arteries were abnormal in all cases except one patient who had
bronchogenic carcinoma supplied by the acromiothoracic artery
to
the left upper lobe.
Results and Conclusion
: Chest radiograph may correlate well with angiographic
findings if there is one lobar lesion, but multiple lobar lesions showed no correlation between
the two modalities. Hypervascularity was a universal findings in all patients. Other angiographic
findings were enlarged bronchial or nonbronchial arteries, systemic to pulmonary anastomosis,
pseudoaneurysm, and extravasation of contrast media. The immediate result of BAE achieved I 00
per cent but follow-up showed only a 70 per cent success rate with one mortality from recurrent
massive hemoptysis and two recurrent cases due to complications. Ivalon which is a permanent
embolized material may be useful for recurrent hemoptysis.
Key word
: Bronchial Artery, Embolization, Hemoptysis
: Massive hemoptysis is a life-threatening condition. Since treatment from
surgery has high mortality, bronchial artery embolization (BAE) is now safer and may be good for
chronic hemoptysis as well.
Material and Method:
Ten patients (6 male, 4 female) with hemoptysis underwent BAE.
Five patients had massive life-threatening hemoptysis ( 4 tuberculosis and
I
bronchogenic carci-
noma) and 5 had chronic hemoptysis (4 tuberculosis and I bronchogenic carcinoma). All patients
received BAE by transfemoral arterial approach using gelfoam particles and Ivalon as the
embolized materials. Bronchial arteries were abnormal in all cases except one patient who had
bronchogenic carcinoma supplied by the acromiothoracic artery
to
the left upper lobe.
Results and Conclusion
: Chest radiograph may correlate well with angiographic
findings if there is one lobar lesion, but multiple lobar lesions showed no correlation between
the two modalities. Hypervascularity was a universal findings in all patients. Other angiographic
findings were enlarged bronchial or nonbronchial arteries, systemic to pulmonary anastomosis,
pseudoaneurysm, and extravasation of contrast media. The immediate result of BAE achieved I 00
per cent but follow-up showed only a 70 per cent success rate with one mortality from recurrent
massive hemoptysis and two recurrent cases due to complications. Ivalon which is a permanent
embolized material may be useful for recurrent hemoptysis.
Key word
: Bronchial Artery, Embolization, Hemoptysis
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