RESUMEN
Massive haemoptysis results in a high rate of mortality and morbidity. It is infrequently seen in children. Medical and surgical interventions are not very effective in controlling torrential bleeding. Therefore, newer modalities like bronchial artery embolisation are found to be promising in life threatening situations in both adults and children.
Asunto(s)
Arterias Bronquiales/anomalías , Niño , Embolización Terapéutica , Hemoptisis/diagnóstico por imagen , Humanos , Masculino , Índice de Severidad de la EnfermedadRESUMEN
34 bronchial and 13 intercostal artries were selectively embolized in 27 patients. The most frequent predisposing factor was either active or residual pulmonary tuberculosis. The procedure was performed with Urografin as the contrast agent, cobra shaped or headhunter catheters, and gelfoam [no.18] or Ivalon [no.9] particles. The most common anatomic pattern was a common bronchial artery trunk [48%]. Immediate hemostasis was achieved in 23 of 27 patients [85%]. Early recurrence [24-72 hours] occurred in 13%. 2 patients underwent surgery following successful embolization. 16 patients were followed at least for six months, and recurrent hemoptysis developed in three patients [18.75%]. Spinal cord injury with neurologic symptoms occurred in one patient. The immediate cause of the injury was probably the toxicity of the contrast medium