Management Considerations for the Treatment of Idiopathic Massive Hemoptysis with Endobronchial Occlusion Combined with Bronchial Artery Embolization
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- Adachi Takashi
- Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, Japan
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- Oki Masahide
- Department of Respiratory Medicine, Nagoya Medical Center, Japan
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- Saka Hideo
- Department of Respiratory Medicine, Nagoya Medical Center, Japan
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抄録
This paper describes endobronchial embolization using silicone spigots (EESS), which is a potential treatment option for hemoptysis. A 63-year-old man with massive hemoptysis was treated with EESS to the left B3, and bronchial artery embolization (BAE) was subsequently performed. However, the patient's hemosputum persisted and we performed another bronchoscopy. Bleeding was found from the left B1+2. This was also treated with EESS. Subsequently, the patient achieved complete hemostasis with no complications for four months. EESS can prevent suffocation and can be a definitive treatment for achieving hemostasis in patients with recurrent hemoptysis after BAE.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 55 (2), 173-177, 2016
一般社団法人 日本内科学会