Endobronchial stent insertion to manage hemoptysis caused by lung cancer.
Hemoptysis in patients with lung cancer is not uncommon and sometimes have dangerous consequences. Hemoptysis has been managed with various treatment options other than surgery and medicine, such as endobronchial tamponade, transcatheter arterial embolization and radiation therapy. However, these methods can sometimes be used only temporarily or are not suitable for a patient's condition. We present a case in which uncontrollable hemoptysis caused by central lung cancer was successfully treated by inserting a covered self-expanding bronchial stent. The patient could be extubated and was able to undergo further palliative therapy. No recurrent episodes of hemoptysis occurred for the following three months. As our case, airway stenting is a considerable option for the tamponade of a bleeding lesion that cannot be successfully managed with other treatment methods and could be used to preserve airway patency in a select group of patients.
Chung
In Hee
IH
Department of Radiology, Dankook University College of Medicine, Cheonan, Korea.
Park
Mi-hyun
MH
Kim
Doh Hyung
DH
Jeon
Gyeong Sik
GS
D001980:Bronchi; D002289:Carcinoma, Non-Small-Cell Lung / Q000150:complications* / Q000628:therapy; D006469:Hemoptysis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007440:Intubation; D008175:Lung Neoplasms / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D015607:Stents; D014057:Tomography, X-Ray Computed