title: Management of tracheobronchial ulceration induced by high-dose brachytherapy.
abstract: The most severe complication of high-dose endobronchial brachytherapy is fatal hemoptysis. Intractable tracheobronchial ulceration due to high-dose endobronchial brachytherapy often develops into tracheobronchial necrosis and fatal hemoptysis. Our experience demonstrated that when bleeding from tracheobronchial ulcer, after high-dose endobronchial brachytherapy occurs, blocking the blood supply to the tracheobronchial ulcer alone is ineffective. Prophylactic tracheobronchial wrapping using the omentum should be added before the occurrence of fatal hemoptysis. This is the first report that describes an effective management for preventing fatal hemoptysis.
authors.affiliation: Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan. mat@p2223.nsk.ne.jp
authors.forename: Isao
authors.initials: I
authors.lastname: Matsumoto
authors.forename: Makoto
authors.initials: M
authors.lastname: Oda
authors.forename: Takehisa
authors.initials: T
authors.lastname: Imagawa
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Yachi
authors.forename: Hideki
authors.initials: H
authors.lastname: Fujimori
authors.forename: Go
authors.initials: G
authors.lastname: Watanabe