Table of Contents
ISRN Pulmonology
Volume 2011, Article ID 601567, 5 pages
http://dx.doi.org/10.5402/2011/601567
Research Article

Bronchial Artery Embolization in Patients Presenting with Massive Hemoptysis: Initial Experience from a Rural Tertiary Centre of Central India

1Department of Chest and Tuberculosis, Maharishi Markandeshwar Institute of Medical Sciences, Ambala 133207, Haryana, India
2Department of Interventional Radiology, TIFAC-CORE, Datta Meghe Institute of Medical Sciences (Deemed University), Wardha, India

Received 2 August 2011; Accepted 12 September 2011

Academic Editors: A. Celi, C. Flores, and A. Michalopoulos

Copyright © 2011 Sameer Singhal and Pankaj Banode. 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

Introduction. Patients presenting with massive hemoptysis in outpatient department (OPD) need urgent care. Conservative management of massive hemoptysis carries a mortality rate of 50%–100%. Bronchial artery embolization (BAE) has become an established procedure in the management of massive and recurrent hemoptysis. Here, we are presenting our experience of bronchial artery embolization in 11 patients presented in outpatient department with massive hemoptysis. Material and Methods. In our hospital-based cross-sectional study, 11 patients had undergone procedure for bronchial artery embolization in the Department of Interventional Radiology (TIFAC-CORE). Recruitment was done by using consecutive sampling in which the patients were chosen on a strict “first come, first chosen” basis and willing to undergo the procedure. Results. Bronchial arteriography and embolization were well tolerated by our patients. An immediate control of active bleeding was achieved with embolization in 10 cases (91%). 1 patient had recurrent hemoptysis after one month and ultimately required surgical resection for mycetoma. Conclusion. Patients with massive hemoptysis due to pulmonary TB can best be treated with BAE. Recurrence of massive hemoptysis is infrequent. However, if it does occur, then patients are best treated with surgery.