Diagnostic and Therapeutic Endoscopy
Volume 4 (1997), Issue 1, Pages 19-28
doi:10.1155/DTE.4.19
Interventional Pneumology in Pulmonary Bleeding; A Review: From the Bronchus to the Vessel
Div. of Pneumology, Dept. of Internal Medicine I, Div. of Interventional Radiology of Medical School (Charité), Humboldt-University of Berlin, Schumannstr. 20/21, Berlin 10117, Germany
Received 27 August 1996; Accepted 5 December 1996
Copyright © 1997 Christian Witt et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Interventional pneumology includes both bronchological and vascular methods of diagnosis
and therapy, especially in emergency situations such as pulmonary hemorrhage. In
massive pulmonary hemorrhage bronchological diagnosis is required to determine the site
and extent of bleeding, as well as angiography of bronchial arteries, and of pulmonary
arteries. Bronchus occlusion by aid of balloon catheter or double lumen tube are holding
measures until definitive surgery or embolization of bronchial or pulmonary arteries can
be performed. The paper suggests a close relationship between bronchoscopic and angiographic
diagnosis and therapy in case of severe pulmonary bleeding.