الفهرس 
Vascular Anatomy of the LungOnly 14 pages are availabe for public view
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Abstract
Background: Massive hemoptysis is an emergent and life-
threatening condition with a high mortality rate. Bronchoscopy and MDCT
scanning show significant contributing roles in delineating the etiology and
the source of hemoptysis prior to bronchial artery arteriography.
Aim of the work: To validate the role of the trans-catheter bronchial
artery embolization in management of massive hemoptysis.
Patients and Methods: Our study is a prospective cohort study that
was held during the period between April 2017 and April 2019. The study
included 20 patients who presented with massive hemoptysis refractory to
supportive treatment measures with non-identifiable source of bleeding on
fiber-optic bronchoscope. Patients were referred from chest department to
angio unit.
Results: Our findings are in accordance with the current literature
supporting bronchial artery embolization as a safe and long-term non-
invasive effective method of treatment for massive hemoptysis with a high
initial rate of success. BAE may help to avoid surgery in patients who are
not good surgical candidates. If hemoptysis recur in these patients,
embolization can be safely performed with good response rate. If surgery is
indicated, BAE can stabilize the patient prior to surgery.
Conclusion: Advancements in angiographic equipment and
technique continue to improve success rates, and with careful technique, it
can be performed safely and with minimal risk. Embolization distal to the
spinal artery may significantly decrease the number of complications and
may allow a more thorough embolization.