Original articleGeneral thoracicMultidisciplinary Management of Life-Threatening Massive Hemoptysis: A 10-Year Experience
Section snippets
Selection of Patients and Management
From January 1995 to December 2005, 120 patients (93 males; mean age, 60.3 years; range, 16 to 89 years) were admitted to our emergency center with life-threatening massive hemoptysis. At our institution, life-threatening massive hemoptysis is defined as the expectoration of 600 mL or more of blood over the course of 24 hours, and all patients included in this study satisfied that criterion. To compare the contemporary outcomes with previous years, the patients were divided into two groups
Characteristics of Patients Who Underwent Bronchial Artery Embolization and Outcomes From 2000 to 2005
Of the 120 patients who were admitted to our center with life-threatening massive hemoptysis between January of 1995 and December of 2005, the recent group (2000 to 2005) had 71 patients. Of the 71 patients in whom conservative treatment failed, 62 (52 males, 10 females; mean age, 58.4 years; range, 32 to 89 years) underwent a bronchial arteriography examination, which showed that the cause of the massive hemoptysis was old tuberculosis in 34, bronchiectasis in 14, mycetoma in 5, lung cancer in
Comment
The recent emergence of BAE as a therapeutic modality for life-threatening massive hemoptysis has revolutionized management of the disease, as it is a less invasive but reliable procedure that leads to excellent therapeutic outcomes [6, 7, 8]. Nevertheless, surgical management of massive hemoptysis still plays an important role as a therapeutic strategy. A number of studies have addressed the management of massive hemoptysis by focusing on a single treatment modality, such as BAE or pulmonary
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