ABSTRACT
Bronchial artery angiography with embolization has become a mainstay in the treatment
of hemoptysis. Major complications are rare and immediate clinical success defined
as cessation of hemorrhage ranges in most series from 85% to 100%, although recurrence
of hemorrhage ranges from 10% to 33%. Bronchial artery embolization offers a minimally
invasive procedure for even the most compromised patient serving as first-line treatment
for hemorrhage as well as providing a bridge to more definitive medical or surgical
intervention focused upon the etiology of the hemorrhage. The aim of this article
is to summarize the etiologies, pathophysiology, and the diagnostic and management
strategies of hemoptysis as related to bronchial artery embolization. In addition,
the techniques of arteriography and embolization as well as associated procedural
outcomes and complications are delineated.
KEYWORDS
Hemoptysis - angiography - bronchial artery - arterial embolization
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Tony P SmithM.D.
Department of Radiology, Room 1502, Duke University Medical Center
Durham, NC 27710
Email: smith146@mc.duke.edu
