[Evaluation of the blood supply to the bronchial stump following resection of the lungs using a mechanical suture in the diagnosis and treatment of pulmonary hemorrhage].
The authors analysed angiograms of 34 patients who had been operated on the lungs with the use of mechanical suturing instruments to determine the effect of the mechanical suture (MS) of the bronchial stump on the development of hemoptysis and pulmonary hemorrhage. They studied the possibility of applying transcatheter endovascular occlusion (TEO) of the bronchial arteries (BA) in the management of hemoptysis of this etiology. In 70% of patients hyperplasia of the BA developed in the MS region in the late postoperative period; which was the source of pulmonary hemorrhage in 75% of cases. Among the patients, 19 were subjected to BA TEO for pulmonary hemorrhage. In 13 cases the bronchial stump with MS was the source of hemorrhage. Hemoptysis is a late complication of lung resection with the use of MS. Preference should be given to BA TEO in the management of this complication.
Volynskiĭ
Iu D
IuD
Puretskiĭ
M V
MV
Kokov
L S
LS
D001980:Bronchi / Q000098:blood supply / Q000601:surgery*; D004621:Embolization, Therapeutic; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008171:Lung Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000628:therapy*; D013537:Sutures / Q000009:adverse effects*
Otsenka krovosnabzheniia kul'ti bronkha posle rezektsii legkikh s ispol'zovaniem mekhanicheskogo shva v diagnostike i lechenii legochnykh krovotecheniĭ.