Services on Demand
Journal
Article
English (pdf)
Article in xml format
Article references
Automatic translation
Send this article by e-mailIndicators
Cited by SciELO
Related links
Similars in
SciELO
Share
Permalink
Revista americana de medicina respiratoria
On-line version ISSN 1852-236X
Abstract
SANCHEZ SOTO, Carlos Alberto et al. Hemoptysis: Diagnosis and Treatment Strategies in a Tertiary Care Hospital. Rev. am. med. respir. [online]. 2023, vol.23, n.3, pp.219-224. ISSN 1852-236X. http://dx.doi.org/10.56538/ramr.bpgs1496.
Hemoptysis is defined as the expectoration of blood from the tracheobronchial tree, typically originating from bronchial arteries. Once the presence and bleeding site are confirmed, one must choose among different methods for managing hemoptysis, each with its own benefits and limitations. Bronchial artery embolization is a minimally invasive endovascular technique. It has become the method of choice for treating massive and recurrent hemoptysis. Its success rate in the first episode is over 80%. The recurrence rate after the procedure ranges from 10% to 55%, in which surgery may play an important role.
Objectives:
to describe the demographic and clinical characteristics, the etiological diagnosis and treatment of patients with hemoptysis at a tertiary care level hospital in the City of Mexico.
Materials and methods:
retrospective study of patients diagnosed with hemoptysis during the period from January 2014 to December 2016. The data were obtained from the clinical records.
Results:
a total of 34 patients with a mean age of 52 years were studied, with a predominance of males (52.9%). The etiology of hemoptysis was tuberculosis (45.5%), neoplasms (20.6%), bronchiectases (15.2%), and arteriovenous malformation (6.1%). The most frequent embolization site was the right upper bronchial artery (56.6%), followed by the left lower bronchial artery (23.3%); and a group of 6 patients (18.7%) required a second embolization procedure due to recurrence of bleeding.
Conclusion:
the management of hemoptysis should be comprehensive. The main objective is to maintain airway permeability and evaluate each patient for optimal management based on the type and etiology of the hemoptysis.
Keywords : Hemoptysis; Embolization; Treatment; Surgery.
