title: Management Considerations for the Treatment of Idiopathic Massive Hemoptysis with Endobronchial Occlusion Combined with Bronchial Artery Embolization.
abstract: This paper describes endobronchial embolization using silicone spigots (EESS), which is a potential treatment option for hemoptysis. A 63-year-old man with massive hemoptysis was treated with EESS to the left B(3), and bronchial artery embolization (BAE) was subsequently performed. However, the patient's hemosputum persisted and we performed another bronchoscopy. Bleeding was found from the left B(1+2). This was also treated with EESS. Subsequently, the patient achieved complete hemostasis with no complications for four months. EESS can prevent suffocation and can be a definitive treatment for achieving hemostasis in patients with recurrent hemoptysis after BAE.
authors.affiliation: Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Adachi
authors.forename: Masahide
authors.initials: M
authors.lastname: Oki
authors.forename: Hideo
authors.initials: H
authors.lastname: Saka
mesh_terms: D001981:Bronchial Arteries; D001999:Bronchoscopy; D004621:Embolization, Therapeutic / Q000379:methods*; D006469:Hemoptysis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012828:Silicones
chemical_list: D012828:Silicones