Hemoptysis surgery

	Hemoptysis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Hemoptysis from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-Ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Hemoptysis surgery On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Hemoptysis surgery All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Hemoptysis surgery
CDC on Hemoptysis surgery
Hemoptysis surgery in the news
Blogs on Hemoptysis surgery
Directions to Hospitals Treating Hemoptysis
Risk calculators and risk factors for 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]

Contraindications

Intervention

Interventional techniques are used to stop bleeding which include:^[4]^[5]^[6]^[7]^[8]
- Bronchial arterial embolization which is:^[9]^[10]^[11]^[12]^[13]^[14]
  - Considered as a first line therapy
  - Less invasive and reliable procedure
  - Operator-dependent technique
  - Excellent outcome with immediate control of bleeding reaching 80-94%
- 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.^[15]^[7]^[16]
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.

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.
↑ 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.

[pmid12400152-1] 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.

[pmid20043609-2] Dudha M, Lehrman S, Aronow WS, Rosa J (2009). "Hemoptysis: diagnosis and treatment". Compr Ther. 35 (3–4): 139–49. PMID 20043609.

[pmid21442867-3] Liippo K, Vasankari T (2011). "[Hemoptysis]". Duodecim (in Finnish). 127 (2): 178–84. PMID 21442867.

[pmid12816036-4] Mal H, Thabut G, Plantier L (2003). "[Hemoptysis]". Rev Prat (in French). 53 (9): 975–9. PMID 12816036.

[pmid10205720-5] Dweik RA, Stoller JK (1999). "Role of bronchoscopy in massive hemoptysis". Clin. Chest Med. 20 (1): 89–105. PMID 10205720.

[pmid22420099-6] 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.

[pmid20090288-7] 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.

[pmid23463474-8] 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.

[pmid17018424-9] Andersen PE (2006). "Imaging and interventional radiological treatment of hemoptysis". Acta Radiol. 47 (8): 780–92. doi:10.1080/02841850600827577. PMID 17018424.

[pmid26293972-10] 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.

[pmid28213604-11] 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.

[pmid25372159-12] 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.

[pmid15916059-13] 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.

[ShigemuraWan2009-14] 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.

[pmid12793622-15] Corder R (2003). "Hemoptysis". Emerg. Med. Clin. North Am. 21 (2): 421–35. PMID 12793622.

[pmid16739895-16] Schwizer B (2006). "[Acute hemoptysis]". Ther Umsch (in German). 63 (5): 355–9. doi:10.1024/0040-5930.63.5.355. PMID 16739895.

[1]

[2]

[3]

[4]

[5]

[6]

[7]

[8]

[9]

[10]

[11]

[12]

[13]

[14]

[15]

[16]

Hemoptysis surgery

Overview

Indications

Contraindications

Intervention

Surgery

References

Navigation menu