Keimyung Medical Journal  2014;33(1):65-70

Treatment of Endobronchial Hemorrhage Using Balloon Tamponade and Bronchial Artery Embolization.

Min Keun KIM 1 ; Ji Won KIM ; Sang Ah BAEK ; Jeong Eun SONG ; Yon Woong PARK ; Kyung Chan KIM

Affiliations

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Keywords

Balloon tamponade; Bronchial artery embolization; Bronchoscopy; Hemorrhage

Country

Republic of Korea

Language

Korean

Abstract

Endobronchial hemorrhage is common complication of bronchoscopic biopsy. There are several hemostatic methods including cold saline irrigation, topical vasoactive substance instillation, tranexamic acid treatment, and balloon tamponade. Insertion of balloon catheter into bronchoscopic working channel is relatively simple and useful method for the selective hemostasis. Here, we report a case of 75-year-old female patient who had hemorrhage during endobronchial biopsy with flexible bronchoscopy. Since primary treatments such as cold saline irrigation and epinephrine instillation had been failed to stop hemorrhage, balloon catheter was immediately inserted into the bleeding site for temporal hemostasis. And then, bronchial artery embolization was followed for the additional treatment of hemorrhage. We suggest to use balloon catheter as a bridge therapy before bronchial artery embolization.