Bronchial occlusion with endobronchial Watanabe spigots using a two‐scope technique for massive haemoptysis

Autor: Tomoya Baba, Takayasu Ito, Yoshiki Sato, Shunsaku Hayai, Junji Koyama, Shota Nakamura, Yoshiyuki Tokuda, Toyofumi Fengshi Chen‐Yoshikawa, Makoto Ishii
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Respirology Case Reports, Vol 12, Iss 6, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2051-3380
DOI: 10.1002/rcr2.1405
Popis: Abstract Massive haemoptysis is a life‐threatening condition whose cause needs to be identified rapidly so that prompt interventions can ensue. Bronchial occlusion with endobronchial Watanabe spigots (EWSs) may be useful when endovascular treatment or surgery proves to be difficult. An 84‐year‐old woman developed massive haemoptysis during percutaneous mitral valve repair for refractory heart failure due to severe mitral regurgitation (MR). Interventional radiology (IVR) and surgery were contraindicated, and bronchial occlusion with EWSs was attempted to control bleeding. The bleeding was so persistent that it was difficult to secure the visual field without aspiration with a bronchoscope. Herein, we report a two‐scope technique, also used in cryobiopsy of peripheral lung lesions, to control bleeding and perform bronchial occlusion with EWSs.
Databáze: Directory of Open Access Journals
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