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Revista americana de medicina respiratoria
versión On-line ISSN 1852-236X
Resumen
SANCHEZ SOTO, Carlos Alberto et al. Hemoptysis: diagnosis and treatment strategies in a third level hospital. Rev. am. med. respir. [online]. 2023, vol.23, n.3, pp.155-160. ISSN 1852-236X. http://dx.doi.org/10.56538/ramr.hbmu9764.
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 inva sive 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 recur rence 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 pre dominance 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 man agement based on the type and etiology of the hemoptysis.
Palabras clave : Hemoptysis; Embolization; Treatment; Surgery.
