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Semin intervent Radiol 2011; 28(1): 048-062
DOI: 10.1055/s-0031-1273940
© Thieme Medical Publishers

Bronchial Artery Embolization for Hemoptysis

David R. Sopko1 , Tony P. Smith1
  • 1Department of Radiology, Duke University Medical Center, Durham, North Carolina
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Publikationsdatum:
22. März 2011 (online)

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ABSTRACT

Bronchial artery angiography with embolization has become a mainstay in the treatment of hemoptysis. Major complications are rare and immediate clinical success defined as cessation of hemorrhage ranges in most series from 85% to 100%, although recurrence of hemorrhage ranges from 10% to 33%. Bronchial artery embolization offers a minimally invasive procedure for even the most compromised patient serving as first-line treatment for hemorrhage as well as providing a bridge to more definitive medical or surgical intervention focused upon the etiology of the hemorrhage. The aim of this article is to summarize the etiologies, pathophysiology, and the diagnostic and management strategies of hemoptysis as related to bronchial artery embolization. In addition, the techniques of arteriography and embolization as well as associated procedural outcomes and complications are delineated.

KEYWORDS

Hemoptysis - angiography - bronchial artery - arterial embolization

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Tony P SmithM.D. 

Department of Radiology, Room 1502, Duke University Medical Center

Durham, NC 27710

eMail: smith146@mc.duke.edu