EMBOLIZATION OF BRONCHIAL ARTERIES IN ACUTE PULMONARY BLEEDING IN CHILDREN

• Main Authors: N. A. Borisova, I. A. Komissarov, S. V. Gol’Bits, M. I. Komissarov, A. S. Ilyin, I. Yu. Aleshin, D. R. Nugaeva
• Format: Article
• Language: Russian
• Published: Pavlov First Saint Petersburg State Medical University 2015-04-01
• Series: Вестник хирургии имени И.И. Грекова
• Subjects: pulmonary bleeding; bronchial arteries; x-ray endovascular occlusion; embolization; hemoptysis; bronchoscopy
• Online Access: https://www.vestnik-grekova.ru/jour/article/view/40
• ISSN: 0042-4625

Children with acute pulmonary bleeding (8 cases) due to different pathology of trancheobronchial tree were followed-up at the period from 2008 to 2014. Diagnostic angiography and X-ray endovascular occlusion of bronchial arteries were performed in the case of insufficiency of conservative and endoscopic methods of hemostasis. Microembolic spheres were used for embolization of distal vessels. The embolization coils and micro-coils were applied for occlusion of great vessels. Children (5 cases) were discharged from the hospital after embolization at the terms of 6-12 months. They hadn’t any ischemic complications associated with bronchial artery occlusion. The sequelae of main disease caused deaths of 3 other kids. The X-ray occlusion is a low-invasive and highly effective method of arrest of all types of bleeding from pool of bronchial arteries. The method could be applied even in extremely severe condition of the patients.