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The Annals of Thoracic Surgery, Vol 48, 272-274, Copyright © 1989 by The Society of Thoracic Surgeons
J Saumench, J Escarrabill, L Padro, J Montana, A Clariana and A Canto
We evaluated 36 patients during active hemoptysis and compared the
diagnostic yield of different procedures. Twenty-seven patients (75%) had
one or more previous episodes of hemoptysis, most of which were not
massive. Fiberoptic bronchoscopy was performed in 25 patients, and the
bleeding site was identified in 17 (68%). The likelihood of localizing the
bleeding site was significantly higher with early versus delayed fiberoptic
bronchoscopy (91% versus 50%). Bronchial arteriography was performed in all
36 patients; positive arteriographies were observed in 20 cases (55.5%).
Arteriography was positive in only 2 of the 8 cases in which fiberoptic
bronchoscopy did not localize the site of bleeding. Bronchial artery
embolization was successfully performed in 10 patients. However, the
bleeding recurred within the first week after embolization in 2 patients,
and 1 of them died.
ARTICLES
Value of fiberoptic bronchoscopy and angiography for diagnosis of the bleeding site in hemoptysis
Department of Thoracic Surgery, Hospital Principes de Espana, Barcelona, Spain.
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