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

Christian Witt, Paul Romaniuk, Bernd Schmidt, Anika Geisler, Katrin Klein, Ingo Fietze, Adrian Constantin Borges, Uta Liebers, Wolf Dörffel, and Gert Baumann

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 Hindawi Publishing Corporation. 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.