Bronchial artery embolization for massive hemoptysis

Objective To investigate the treatment of massive hemoptysis with bronchial artery embolization and efficacy of the method.Methods:Twelve cases of large or repeated hemoptysis was embolized bronchial arteries with PVA particles or gelatin sponge.In 12 patients,bronchiectasis was 10 cases;tuberculosis 2 cases.First artery,intercostal artery angiography was done to determine the bleeding vessel,the use of gelatin sponge particles or PVA particle was used to embolize the bronchial artery.Results:Immediate hemostasis was achieved in 10 cases with complete cessation of hemoptysis;hemoptysis in 2 cases was significantly reduced,and by conservative medical treatment hemoptysis was stopped.In 3-12 months' follow-up,1 case of pulmonary tuberculosis recurrence.Conclusion:Bronchial artery embolization is an effective method of treatment of massive hemoptysis.