Format

Send to

Choose Destination
Cardiovasc Intervent Radiol. 2006 Sep-Oct;29(5):807-10.

Management of severe hemoptysis from pulmonary aspergilloma using endovascular embolization.

Author information

1
Department of Radiology, University of KwaZulu Natal, Nelson Mandela Medical School, Private bag 7, Congella 4013, Durban, South Africa. peter.corr@uaeu.ac.ae

Abstract

PURPOSE:

To determine the effectiveness of endovascular embolization as a temporizing measure in the management of severe hemoptysis caused by intracavitary pulmonary aspergilloma.

METHODS:

Patients presenting with hemoptysis, estimated to be more than 300 ml in the preceding 24 hr, in whom a radiological diagnosis of pulmonary aspergilloma was made on chest radiographs and/or computed tomography of the chest were subjected to bronchial and systemic arteriography and embolization using triacryl microspheres.

RESULTS:

Twelve patients with upper lobe intracavitary aspergillomas were managed with embolization. In 11 patients hemoptysis stopped within 24 hr and with no recurrence over the next 4 weeks. In 1 patient hemoptysis persisted and an upper lobe lobectomy was performed.

CONCLUSION:

Embolization of bronchial and systemic arteries is an effective method for treating acute severe hemoptysis from intracavitary aspergillomas, allowing the patient time to recover for definitive surgical management.

PMID:
16810459
DOI:
10.1007/s00270-005-0329-0
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center