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Massive hemoptysis: control by embolization of the thyrocervical trunk
Radiology
|October 1, 1986
Summary
Recurrent hemoptysis after bronchial artery embolization was treated by embolizing the thyrocervical trunk. This case highlights an alternative approach for managing refractory bleeding after standard embolization procedures.
Area of Science:
- Interventional Radiology
- Vascular Medicine
- Pulmonary Medicine
Background:
- Bronchial artery embolization (BAE) is a primary treatment for hemoptysis.
- Recurrent bleeding post-BAE can be challenging to manage.
Observation:
- A patient presented with recurrent hemoptysis despite prior successful BAE.
- The bleeding originated from a source not addressed by the initial BAE.
Findings:
- Successful embolization of the thyrocervical trunk controlled the recurrent hemoptysis.
- This demonstrates the thyrocervical trunk as a potential collateral supply in cases of refractory hemoptysis.
Implications:
- Embolization of the thyrocervical trunk offers a viable alternative for refractory hemoptysis post-BAE.
- Further investigation into non-bronchial artery collaterals is warranted for managing severe hemoptysis.