Expert consensus on endobronchial balloon occlusion in the treatment of hemoptysis (2025 edition).
10.3760/cma.j.cn112138-20250628-00373
- Collective Name:Clinical Guidelines Committee of Internal Medicine of Chinese Medical Association
- Publication Type:Consensus Development Conference
- MeSH:
Humans;
Hemoptysis/therapy*;
Balloon Occlusion/methods*;
Bronchoscopy;
Consensus;
Evidence-Based Medicine
- From:
Chinese Journal of Internal Medicine
2025;64(11):1055-1064
- CountryChina
- Language:Chinese
-
Abstract:
Hemoptysis is a serious medical emergency associated with high mortality rates. Notably, it poses significant therapeutic challenges owing to the complexities in rapidly identifying the bleeding site and underlying cause. In severe cases, it can lead to death by asphyxia, thus necessitating prompt intervention. Bronchoscopy-guided endobronchial balloon occlusion (EBBO) is a vital procedure for blocking the bleeding bronchus, allowing time for subsequent embolization of the responsible vessel and definitive treatment. While traditional techniques for EBBO are intricate and demanding, recent advancements in balloon technology, along with procedural refinements, have simplified the process, reduced operation times, and enhanced medical staff proficiency. Nevertheless, a lack of standardized protocols and technical guidelines has hindered the widespread adoption of this technique in China. Accordingly, the Internal Medicine of Chinese Medical Association convened a group of experts to develop the "Expert consensus on endobronchial balloon occlusion in the treatment of hemoptysis (2025 edition)" to standardize this procedure. This consensus, grounded in evidence-based medicine and clinical practice both domestically and internationally, covers seven essential elements: treatment strategies, equipment, indications and contraindications, preoperative preparation, technical procedures and specifications, integration with other therapeutic techniques, efficacy assessment, and follow-up. By offering comprehensive guidance, the consensus aims to standardize and promote the use of EBBO for hemoptysis management in China.
