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Bronchial Artery Embolization for Massive Hemoptysis

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Abstract

The most common devastating presenting symptom of patients with post-tubercular bronchiectasis of the lung is severe hemoptysis amounting to >200 ML blood/day. The treatment of the underlying destroyed lungs is usually radical surgery amounting to lobectomy or sometimes in severe cases, pneumonectomy. Many patients are not suitable candidates for radical surgery due to advanced age or associated co-morbid conditions. In these patients and in those in whom extensive resection of destroyed lung is not considered necessary, catheter based bronchial artery embolization (BAE) offers a safe and effective alternative therapy for cessation of hemoptysis. Its efficacy is heavily dependant on the experience of the operator. Certain safety precautions detailed in this chapter are necessary while performing BAE successfully and uneventfully. BAE also has much less morbidity than surgery and offers better quality of life compared to radical lobectomies and pneumonectomies.

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Authors and Affiliations

  1. Department of Cardiology, St. John’s Medical College Hospital, Bangalore, India

    Kiron Varghese

  2. St. John’s Medical College Hospital, Bangalore, India

    Srilakshmi Adhyapak

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  1. Kiron Varghese
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Varghese, K., Adhyapak, S. (2017). Bronchial Artery Embolization for Massive Hemoptysis. In: Therapeutic Embolization. Springer, Cham. https://doi.org/10.1007/978-3-319-42494-1_3

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  • DOI: https://doi.org/10.1007/978-3-319-42494-1_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42492-7

  • Online ISBN: 978-3-319-42494-1

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