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Thoracic embolotherapy for life-threatening haemoptysis: a pulmonologist's perspective
1Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore. gm3halsgh.com.sg
Abstract:
Haemoptysis is the expectoration of blood from the respiratory tract and is life-threatening when blood obstructs the major airway causing asphyxiation. This may occur in the presence or absence of pre-existing compromised pulmonary reserve and medical comorbidities. Life-threatening haemoptysis is a relatively common clinical situation encountered by pulmonologists and thoracic embolotherapy is a key therapeutic option. Although thoracic embolotherapy primarily involves bronchial arterial embolization, it also encompasses embolization of non-bronchial systemic arteries and the pulmonary arterial supply. A pulmonologist's perspective on this topic is presented. Pertinent areas related to this theme, namely surgery and the role of bronchoscopy in life-threatening haemoptysis are discussed briefly.
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Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...