Yıl: 2016 Cilt: 17 Sayı: 4 Sayfa Aralığı: 148 - 152 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Management of Massive Hemoptysis: Analyses of 58 Patients

Öz:
OBJECTIVES: The objective was to describe changing patterns of etiological factors and treatment modalities for massive hemoptysis.MATERIAL AND METHODS: From January 2008-December 2012, the medical records of 58 massive hemoptysis patients were reviewed. RESULTS: Fifty-eight patients, 44 were men (75.9%) and 14 were women (24.1%), with a mean age of 51.4 years (range= 19-84 years), were divided into three groups; surgical management (n= 37, 63.8%), conservative management (n= 14, 24.1%) and bronchial artery embolization (n= 6, 10.4%). One case (1.7%) had combined treatment modality; bronchial artery embolization was followed by surgical resection. Anatomical lung resections were the most preferred resection type in the surgical management group (n= 34, 91.9%). The most common etiological factor was bronchiectasis (n= 19, 32.8%); followed by bronchial cancer (n= 14, 24.1%). The duration of hospitalization in the surgical management group was 11.4 days ; whereas in the bronchial artery embolization group, hospitalization was only four days (p< 0.01). Prolonged air leak (n= 7; 18.9%) was the most common complication in the surgical management group.CONCLUSION: We emphasize that bronchiectasis was leading cause of massive hemoptysis. Surgical treatment remains the definitive therapy in the management of massive hemoptysis with decreased mortality rates over decades; whereas bronchial artery embolization is an effective therapeutic tool.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Joughon J, Ballester M, Delcambre F, et al. Massive hemoptysis: what place for medical and surgical treatment. Eur J Cardiothorac Surg 2002;22:345-51. [CrossRef]
  • 2. Ayed A. Pulmonary resection for massive hemoptysis of benign etiology. Eur J Cardiothorac Surg 2003;24:689-93. [CrossRef]
  • 3. Shigemura N, Wan IY, Yu SC, et al. Multidisciplinary management of life-threatening massive hemoptysis: a 10-year experience. Ann Thorac Surg 2009;87:849-53. [CrossRef]
  • 4. Endo S, Otani S, Saito N, et al. Management of massive hemoptysis in a thoracic surgical unit. Eur J Cardiothorac Surg 2003;23:467- 72. [CrossRef]
  • 5. Garzon AA, Gourin A. Surgical management of massive hemoptysis. A ten-year experience. Ann Surg 1978;187:267-71. [CrossRef]
  • 6. Conlan AA, Hurwitz SS, Krige L, et al. Massive hemoptysis. Review of 123 cases. J Thorac Cardiovasc Surg 1983;85:120-4. [CrossRef]
  • 7. Unsal E, Koksal D, Cimen F, et al. Analyses of patients with hemoptysis in a reference hospital for chest disease. Tuberk Toraks 2006;54:34-42. [CrossRef]
  • 8. Ozgul MA, Turna A, Yıldız P, et al. Risk factors and recurrence patterns in 203 patients with hemoptysis. Tuberk Toraks 2006;54:243-8. [CrossRef]
  • 9. Knott-Craig CJ, Oostruizen JG, Rossouw G, et al. Management and prognosis of massive hemoptysis. Recent experience with 120 patients. J Thorac Cardiovasc Surg 1993;105:394-7. [CrossRef]
  • 10. Lee TW, Wan S, Choy DK, et al. Management of massive hemoptysis: a single institution experience. Ann Thorac Cardiovasc Surg 2000;6:232-5. [CrossRef]
  • 11. Ong TH, Eng P. Massive hemoptysis requiring intensive care. Intensive Care Med 2003;29:317-20. [CrossRef]
  • 12. Metin M, Sayar A, Turna A, et al. Emergency surgery for massive haemoptysis. Acta Chir Belg 2005;105:639-43.
  • 13. Remy J, Voisin C, Dupius C, et al. Treatment of hemoptysis by embolization of the systemic circulation. Ann Radiol 1974;17:5- 16.
  • 14. Swanson KL, Johnson CM, Prakash UB, et al. Bronchial artery embolization: experience with 54 patients. Chest 2002;121:789- 95.
  • 15. Mal H, Rullon I, Mellot F, et al. Immediate and long-term results of bronchial artery embolization for life-threatening hemoptysis. Chest 1999;115:996-1001.
  • 16. Samara KD, Tsetis D, Antoniou KM, et al. Bronchial artery embolization for management of massive cryptogenic hemoptysis: a case series. J Med Case Rep 2011;5:58-62
APA Yazicioglu A, YEKELER E, YAZICI Ü, aydın e, TAŞTEPE İ, Karaoglanoglu N (2016). Management of Massive Hemoptysis: Analyses of 58 Patients. , 148 - 152.
Chicago Yazicioglu Alkin,YEKELER ERDAL,YAZICI Ülkü,aydın ertan,TAŞTEPE İrfan,Karaoglanoglu Nurettin Management of Massive Hemoptysis: Analyses of 58 Patients. (2016): 148 - 152.
MLA Yazicioglu Alkin,YEKELER ERDAL,YAZICI Ülkü,aydın ertan,TAŞTEPE İrfan,Karaoglanoglu Nurettin Management of Massive Hemoptysis: Analyses of 58 Patients. , 2016, ss.148 - 152.
AMA Yazicioglu A,YEKELER E,YAZICI Ü,aydın e,TAŞTEPE İ,Karaoglanoglu N Management of Massive Hemoptysis: Analyses of 58 Patients. . 2016; 148 - 152.
Vancouver Yazicioglu A,YEKELER E,YAZICI Ü,aydın e,TAŞTEPE İ,Karaoglanoglu N Management of Massive Hemoptysis: Analyses of 58 Patients. . 2016; 148 - 152.
IEEE Yazicioglu A,YEKELER E,YAZICI Ü,aydın e,TAŞTEPE İ,Karaoglanoglu N "Management of Massive Hemoptysis: Analyses of 58 Patients." , ss.148 - 152, 2016.
ISNAD Yazicioglu, Alkin vd. "Management of Massive Hemoptysis: Analyses of 58 Patients". (2016), 148-152.
APA Yazicioglu A, YEKELER E, YAZICI Ü, aydın e, TAŞTEPE İ, Karaoglanoglu N (2016). Management of Massive Hemoptysis: Analyses of 58 Patients. Turkish Thoracic Journal, 17(4), 148 - 152.
Chicago Yazicioglu Alkin,YEKELER ERDAL,YAZICI Ülkü,aydın ertan,TAŞTEPE İrfan,Karaoglanoglu Nurettin Management of Massive Hemoptysis: Analyses of 58 Patients. Turkish Thoracic Journal 17, no.4 (2016): 148 - 152.
MLA Yazicioglu Alkin,YEKELER ERDAL,YAZICI Ülkü,aydın ertan,TAŞTEPE İrfan,Karaoglanoglu Nurettin Management of Massive Hemoptysis: Analyses of 58 Patients. Turkish Thoracic Journal, vol.17, no.4, 2016, ss.148 - 152.
AMA Yazicioglu A,YEKELER E,YAZICI Ü,aydın e,TAŞTEPE İ,Karaoglanoglu N Management of Massive Hemoptysis: Analyses of 58 Patients. Turkish Thoracic Journal. 2016; 17(4): 148 - 152.
Vancouver Yazicioglu A,YEKELER E,YAZICI Ü,aydın e,TAŞTEPE İ,Karaoglanoglu N Management of Massive Hemoptysis: Analyses of 58 Patients. Turkish Thoracic Journal. 2016; 17(4): 148 - 152.
IEEE Yazicioglu A,YEKELER E,YAZICI Ü,aydın e,TAŞTEPE İ,Karaoglanoglu N "Management of Massive Hemoptysis: Analyses of 58 Patients." Turkish Thoracic Journal, 17, ss.148 - 152, 2016.
ISNAD Yazicioglu, Alkin vd. "Management of Massive Hemoptysis: Analyses of 58 Patients". Turkish Thoracic Journal 17/4 (2016), 148-152.