Bronchial Artery Embolisation and Sphigot Insertion of Bronchus
Background
50 year old alcoholic patient presented with massive hemoptysis. Patient was intubated in emergency for need of airway protection.
Diagnosis And Treatment
CT chest with thoracic angiogram revealed bilateral cavitary lesion with hypertrophied collateral arteries predominantly supplying the right upper lobe cavity. FOB done showed active bleeding from right upper lobe bronchus.
Watanabe sphigot occlusion of anterior subsegment of right upper lobe + glue instillation of right apical and posterior sub segment followed by bronchial artery embolization was done.
Pre procedure CT Scan
Pre procedure X ray
Pre procedure CT Scan
CT thoracic angiograph
Active hemoptysis
Placement of sphigot in right upper bronchus
Placement of sphigot in right upper lobe bronchus
Glue instillation in right upper lobe bronchus
About Author –
Dr. Viswesvaran Balasubramanian, Consultant Interventional Pulmonology and Sleep Medicine, Yashoda Hospital, Hyderabad
MD, DNB, DM (Pulmonary-Gold Medal), Fellowship in Sleep Medicine (Gold Medalist), Fellowship in Interventional Pulmonology (Malaysia)
