Role of Bronchial Artery Embolization in Massive Haemoptysis

Massive haemoptysis is one of the most dreaded of all respiratory emergencies Share your views on this case of Massive Haemoptysis by Dr. Sandeep Ghodekar Learn the art of managing such cases through his rich experience Follow us for more such updates!

82 Likes

LikeAnswersShare

SOME OF THE OTHER CAUSED OF HAEMOPTYSIS BESIDES PULMONARY EMBOLISM ARE CHRONIC BRONCHITIS PULMONARY TB BRONCHECTSIS BRONCHOGENIC CARCINOMA FORIE NG BODY ASPIRATION IN CHILDREN GOOD PASTURES SYNDROME ORAL CAVITY CAUSES GINGIVITIS

Absolutely sir! Thanks for your valuable comments..
0

View 2 other replies

Nice presentation.Nice management and you saved one life.Also your approach to cases is unique and got to learn many things from your answers.Actually i wait till your is posted to tally whether i am correct or wrong.

Thanks sir for appreciation!
1

Complications Several complications of BAE have been reported in the literature. Chest pain is the most common complication, with a reported prevalence of 24%–91% . Chest pain is likely related to an ischemic phenomenon caused by embolization and is usually transient. In addition, dysphagia due to embolization of esophageal branches may be encountered, with a reported prevalence of 0.7%–18.2%. Dysphagia also regresses spontaneously. Subintimal dissection of the aorta or the bronchial artery during BAE is the other minor complication, with a reported prevalence of 1%–6.3%. There are usually no symptoms or problems related to the subintimal dissection. The most disastrous complication of BAE is spinal cord ischemia due to the inadvertent occlusion of spinal arteries. The prevalence of spinal cord ischemia after BAE is reported to be 1.4%–6.5% . As discussed earlier, the visualization of radicular branches on bronchial or intercostal angiograms is not an absolute contraindication for BAE. However, when the anterior medullary artery (artery of Adamkiewicz) is visualized at angiography, embolization should not be performed. Other rare complications that have been reported in the literature include aortic and bronchial necrosis, bronchoesophageal fistula, non–target organ embolization (eg, ischemic colitis), pulmonary infarction, referred pain to the ipsilateral forehead and orbit, and transient cortical blindness . It is hypothesized that cortical blindnes develops because of embolism to the occipital cortex, either via a bronchial artery–pulmonary vein shunt or via collateral vessels between the bronchial and vertebral arteries

VERY NICELY AND FUNDAMENTALLY EXPLAINED CASE OF BRONCHIAL ARTERY HAEMOPTYSIS. WITH CAUSES CLEARED....... VERY KNOWLEDGEABLE FOR PRACTITIONERS AND MEDICAL STUDENTS..

Absolutely sir! Thanks and regards!
0

Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Nice presentation with good explanation to prevent massive haemoptysis.advanced technique to prevent bleeding from lungs in limited cases.

Thanks sir!
0

Exclusive case dr Sandeep Ghodekar Great learning Yes post tubercular hemoptysis that too massive is difficult to diagnose and locate the site of bleed despite the aware of BAE not very easily detected and embolised Certainly great achievement It is case for PG and DNB presented on digital platform great obligation Sorry i am late in my approach and opinion

Great case presentation sir in a simple way. No comments .Its great learning platform for us

Thanks sir!
0

Nice presentation sir

Thanks sir! Regards.
1

VERY BEAUTIFUL ILLUSTRATION NICELY UPDATED... THANKS. A. LOT FOR. SHARING.....DR.

Thanks sir for appreciation!
0
Load more answers