title: [Management of massive hemoptysis: current role of interventional endoscopy].
abstract: Massive hemoptysis represent a very serious pathology and a vital threat for the patients. In spite of the availability of several therapeutical tools, the prognosis remains dark: mortality more than 60%. We expose here, the pathophysiological mechanisms of this severe complication and the main predisposing conditions and etiologies, to then approach the contribution of new endobronchial interventional treatments. The flexible endoscopy allowing only limited acts like the instillation of adrenalin and physiological solution at 4 degrees C, can in some cases contribute to probe or endobronchial catheter installation or intubation. The rigid bronchoscopy finds in massive hemoptysis a vast field of action and will make possible to better control the bleeding and to ensure the hemostasis: thermocoagulation, laser and cryotherapy aim at the same time stopping the haemorrhage and allow specific treatment. Their results are different according to the technique. The endovascular and surgical procedures have a complementary role.
authors.affiliation: Service des Maladies respiratoires et d'endoscopie interventionnelle, Hôpital A. Mami de l'Ariana.
authors.forename: Elyes
authors.initials: E
authors.lastname: Hassine
authors.forename: Kamel
authors.initials: K
authors.lastname: Marniche
authors.forename: Sofia
authors.initials: S
authors.lastname: Bousnina
authors.forename: J
authors.initials: J
authors.lastname: Ben Khélil
authors.forename: Abdellatif
authors.initials: A
authors.lastname: Chabbou
mesh_terms: D001999:Bronchoscopy; D017679:Cryotherapy; D004564:Electrocoagulation; D004621:Embolization, Therapeutic; D006469:Hemoptysis / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D016558:Hemostasis, Endoscopic; D006488:Hemostasis, Surgical; D006489:Hemostatic Techniques; D006801:Humans; D017075:Laser Coagulation
vernacular_title: Prise en charge des hémoptysies massives place actuelle de l'endoscopie interventionnelle.