[Management of severe hemoptysis: experience in a specialized center].
Bronchiectasis, cancer and tuberculosis account for the majority of haemoptysis requiring intensive care unit admission. Bedside evaluation (volume and bronchoscopic active bleeding) is safe to screen patients for arteriography and bronchial artery embolisation (BAE). First-line interventional arteriography should be favour over surgery in patients with non traumatic life-threatening hemoptysis. Surgery must be reserved in cases of failure or recurrence of bleeding after BAE.
Service de Pneumologie et Unité de Réanimation, Hôpital Tenon, AP-HP, 4, rue de la Chine, 75970 Paris Cedex 20.
A
A
Parrot
A
A
Khalil
S
S
Roques
C
C
Andréjak
L
L
Savale
M-F
MF
Carette
C
C
Mayaud
B
B
Bazelly
M
M
Fartoukh
D001769:Blood; D001999:Bronchoscopy; D003422:Critical Care; D004621:Embolization, Therapeutic; D006469:Hemoptysis / Q000145:classification / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D006785:Hospitals, University; D006801:Humans; D010102:Oxygen Inhalation Therapy; D010297:Paris; D014057:Tomography, X-Ray Computed