Hemoptysis surgery: Difference between revisions
Jump to navigation
Jump to search
| Line 39: | Line 39: | ||
***It has a mortality rate of 10-30%. | ***It has a mortality rate of 10-30%. | ||
***Rigid bronchoscopy procedure before surgery improves the outcome by clearing the airway and stabilizing patients in emergency situations. | ***Rigid bronchoscopy procedure before surgery improves the outcome by clearing the airway and stabilizing patients in emergency situations. | ||
{{#ev:youtube|8c8j_yYavMI}} | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 21:20, 16 February 2018
|
Hemoptysis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Hemoptysis surgery On the Web |
|
American Roentgen Ray Society Images of Hemoptysis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Indications
- Surgical intervention is recommended for the management of massive hemoptysis.[1]
- Massive hemoptysis is a life-threatening condition and requires prompt intensive care.[2][3]
- Surgery is indicated in patients with hemoptysis who are resistant to embolization, such as:
- Aspergilloma
- Hydatid cyst
- Thoracic vascular injury
- Bronchial adenoma
Contraindications
Intervention
{{#ev:youtube|kLO6UXaVb9w}} {{#ev:youtube|zJ85gIjGOzY}}
- Bronchoscopic balloon tamponade
Surgery
- Patients with massive hemoptysis must be admitted in the ICU and prompt surgical and medical interventions must be started.[1]
- An appropriate team of cardiothoracic surgery, pulmonary medicine, anesthesia, and interventional radiology is required to manage the massive hemoptysis.[16][7][17]
- Surgery was a first line therapy for massive hemoptysis in the past.
- After introduction of bronchial arterial embolization in the 1970s, approaches toward massive hemoptysis were changed.
- Surgical techniques that are used for management of hemoptysis include:
- Pulmonary resection:[14]
- It is definitely curative.
- It is effective for localized lesions.
- It has a mortality rate of 10-30%.
- Rigid bronchoscopy procedure before surgery improves the outcome by clearing the airway and stabilizing patients in emergency situations.
- Pulmonary resection:[14]
{{#ev:youtube|8c8j_yYavMI}}
References
- ↑ 1.0 1.1 Johnson JL (2002). "Manifestations of hemoptysis. How to manage minor, moderate, and massive bleeding". Postgrad Med. 112 (4): 101–6, 108–9, 113. PMID 12400152.
- ↑ Dudha M, Lehrman S, Aronow WS, Rosa J (2009). "Hemoptysis: diagnosis and treatment". Compr Ther. 35 (3–4): 139–49. PMID 20043609.
- ↑ Liippo K, Vasankari T (2011). "[Hemoptysis]". Duodecim (in Finnish). 127 (2): 178–84. PMID 21442867.
- ↑ Mal H, Thabut G, Plantier L (2003). "[Hemoptysis]". Rev Prat (in French). 53 (9): 975–9. PMID 12816036.
- ↑ Dweik RA, Stoller JK (1999). "Role of bronchoscopy in massive hemoptysis". Clin. Chest Med. 20 (1): 89–105. PMID 10205720.
- ↑ Joskin J, Bruls S, Brisbois D (2012). "[Bronchial artery ligation for the management of hemoptysis]". Rev Med Liege (in French). 67 (1): 21–5. PMID 22420099.
- ↑ 7.0 7.1 Sakr L, Dutau H (2010). "Massive hemoptysis: an update on the role of bronchoscopy in diagnosis and management". Respiration. 80 (1): 38–58. doi:10.1159/000274492. PMID 20090288.
- ↑ Darwiche K, Karpf-Wissel R, Freitag L (2013). "[Hemoptysis--targets in diagnostic and therapy]". Dtsch. Med. Wochenschr. (in German). 138 (11): 530–5. doi:10.1055/s-0032-1332907. PMID 23463474.
- ↑ Andersen PE (2006). "Imaging and interventional radiological treatment of hemoptysis". Acta Radiol. 47 (8): 780–92. doi:10.1080/02841850600827577. PMID 17018424.
- ↑ Ramírez Mejía AR, Méndez Montero JV, Vásquez-Caicedo ML, Bustos García de Castro A, Cabeza Martínez B, Ferreirós Domínguez J (2016). "Radiological Evaluation and Endovascular Treatment of Hemoptysis". Curr Probl Diagn Radiol. 45 (3): 215–24. doi:10.1067/j.cpradiol.2015.07.007. PMID 26293972.
- ↑ Ishikawa H, Hara M, Ryuge M, Takafuji J, Youmoto M, Akira M, Nagasaka Y, Kabata D, Yamamoto K, Shintani A (2017). "Efficacy and safety of super selective bronchial artery coil embolisation for haemoptysis: a single-centre retrospective observational study". BMJ Open. 7 (2): e014805. doi:10.1136/bmjopen-2016-014805. PMC 5318547. PMID 28213604.
- ↑ Ittrich H, Klose H, Adam G (2015). "Radiologic management of haemoptysis: diagnostic and interventional bronchial arterial embolisation". Rofo. 187 (4): 248–59. doi:10.1055/s-0034-1385457. PMID 25372159.
- ↑ Reechaipichitkul W, Latong S (2005). "Etiology and treatment outcomes of massive hemoptysis". Southeast Asian J. Trop. Med. Public Health. 36 (2): 474–80. PMID 15916059.
- ↑ 14.0 14.1 Shigemura, Norihisa; Wan, Innes Y.; Yu, Simon C.H.; Wong, Randolph H.; Hsin, Michael K.Y.; Thung, Hoi K.; Lee, Tak-Wai; Wan, Song; Underwood, Malcolm J.; Yim, Anthony P.C. (2009). "Multidisciplinary Management of Life-Threatening Massive Hemoptysis: A 10-Year Experience". The Annals of Thoracic Surgery. 87 (3): 849–853. doi:10.1016/j.athoracsur.2008.11.010. ISSN 0003-4975.
- ↑ Noë, G.D.; Jaffé, S.M.; Molan, M.P. (2011). "CT and CT angiography in massive haemoptysis with emphasis on pre-embolization assessment". Clinical Radiology. 66 (9): 869–875. doi:10.1016/j.crad.2011.03.001. ISSN 0009-9260.
- ↑ Corder R (2003). "Hemoptysis". Emerg. Med. Clin. North Am. 21 (2): 421–35. PMID 12793622.
- ↑ Schwizer B (2006). "[Acute hemoptysis]". Ther Umsch (in German). 63 (5): 355–9. doi:10.1024/0040-5930.63.5.355. PMID 16739895.