Abstract
Bronchial artery embolization (BAE) is a minimally invasive image-guided intervention used in the management of massive hemoptysis or of a major hemorrhagic hemoptysis event. Pathologic processes that affect the airways and pulmonary parenchyma are the most common underlying etiologies that result in hemoptysis. Angiography of the bronchial arteries can be diagnostic and also allow for therapeutic transcatheter particulate embolization. Super-selective embolization is performed to safely and effectively stop the bleeding while minimizing the risk of nontarget embolization and the potential associated complications that might occur. The expected outcome of BAE is the control of hemoptysis that is manifested as complete cessation of the expectoration of bloody sputum. Reported recurrence rates at 1 month range from 2% to 27%, and long-term recurrence rates up to 46 months are reported in the range of 10–52%.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kalva SP. Bronchial artery embolization. Tech Vasc Interv Radiol. 2009;12(2):130–8.
Stoll JF, Bettmann MA. Bronchial artery embolization to control hemoptysis: a review. Cardiovasc Intervent Radiol. 1988;11(5):263–9.
Viamonte M. Selective bronchial arteriography in man. Radiology. 1964;83(5):830–9.
Wholey MH, Chamorro HA, Rao G, Ford WB, Miller WH. Bronchial artery embolization for massive hemoptysis. JAMA. 1976;236(22):2501–4.
Rémy J, Arnaud A, Fardou H, Giraud R, Voisin C. Treatment of hemoptysis by embolization of bronchial arteries. Radiology. 1977;122(1):33–7.
Remy J, Deschildre F, Artaud D, Remy-Jardin M, Copin MC, Bordet R, et al. Bronchial arteries in the pig before and after permanent pulmonary artery occlusion. Investig Radiol. 1997;32(4):218–24.
Tom LM, Palevsky HI, Holsclaw DS, Trerotola SO, Dagli M, Mondschein JI, et al. Recurrent bleeding, survival, and longitudinal pulmonary function following bronchial artery embolization for hemoptysis in a U.S. adult population. J Vasc Interv Radiol. 2015;26(12):1806–13.
Remy-Jardin M, Bouaziz N, Dumont P, Brillet P-Y, Bruzzi J, Remy J. Bronchial and nonbronchial systemic arteries at multi-detector row CT angiography: comparison with conventional angiography. Radiology. 2004;233(3):741–9.
Yoon YC, Lee KS, Jeong YJ, Shin SW, Chung MJ, Kwon OJ. Hemoptysis: bronchial and nonbronchial systemic arteries at 16-detector row CT. Radiology. 2005;234(1):292–8.
Do KH, Goo JM, Im JG, Kim KW, Chung JW, Park JH. Systemic arterial supply to the lungs in adults: spiral CT findings. Radiographics. 2001;21(2):387–402.
Yoon W, Kim YH, Kim JK, Kim YC, Park JG, Kang HK. Massive hemoptysis: prediction of nonbronchial systemic arterial supply with chest CT. Radiology. 2003;227(1):232–8.
Furuse M, Saito K, Kunieda E, Aihara T, Touei H, Ohara T, et al. Bronchial arteries: CT demonstration with arteriographic correlation. Radiology. 1987;162(2):393–8.
Bruzzi JF, Remy-Jardin M, Delhaye D, Teisseire A, Khalil C, Remy J. Multi-Detector Row CT of hemoptysis. Radiographics. 2006;26(1):3–22.
Saumench J, Escarrabill J, Padró L, Montañá J, Clariana A, Cantó A. Value of fiberoptic bronchoscopy and angiography for diagnosis of the bleeding site in hemoptysis. Ann Thorac Surg. 1989;48(2):272–4.
Yoon W, Kim JK, Kim YH, Chung TW, Kang HK. Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review. Radiographics. 2002;22(6):1395–409.
Sopko DR, Smith TP. Bronchial artery embolization for hemoptysis. Semin Intervent Radiol. 2011;28(1):48–62.
Ittrich H, Klose H, Adam G. Radiologic management of haemoptysis: diagnostic and interventional bronchial arterial embolisation. Fortschr Röntgenstr. 2015;187:248–59.
Zhao T, Wang S, Zheng L, Jia Z, Yang Y, Wang W, et al. The value of 320-row multidetector CT bronchial arteriography in recurrent hemoptysis after failed Transcatheter arterial embolization. J Vasc Interv Radiol. 1987;15:1–10.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Valentin, L.I., Walker, T.G. (2018). Bronchial Artery Embolization. In: Keefe, N., Haskal, Z., Park, A., Angle, J. (eds) IR Playbook. Springer, Cham. https://doi.org/10.1007/978-3-319-71300-7_21
Download citation
DOI: https://doi.org/10.1007/978-3-319-71300-7_21
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-71299-4
Online ISBN: 978-3-319-71300-7
eBook Packages: MedicineMedicine (R0)