Bronchial Occlusion with Endobronchial Watanabe Spigot for Massive Hemoptysis in Two Patients with a Poor General Condition

DOI 1 Citations
  • Sakayori Masashi
    Department of Respirology, Graduate School of Medicine, Chiba University
  • Ishiwata Tsukasa
    Department of Respirology, Graduate School of Medicine, Chiba University
  • Terada Jiro
    Department of Respirology, Graduate School of Medicine, Chiba University
  • Katsumata Yusuke
    Department of Respirology, Graduate School of Medicine, Chiba University
  • Shimada Ayako
    Department of Respirology, Graduate School of Medicine, Chiba University
  • Abe Mitsuhiro
    Department of Respirology, Graduate School of Medicine, Chiba University
  • Kawata Naoko
    Department of Respirology, Graduate School of Medicine, Chiba University
  • Tsushima Kenji
    Department of Respirology, Graduate School of Medicine, Chiba University Department of Pulmonary Medicine, International University of Health and Welfare, School of Medicine
  • Tatsumi Koichiro
    Department of Respirology, Graduate School of Medicine, Chiba University

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  • 全身状態不良患者の制御困難な喀血に対してEndobronchial Watanabe Spigotによる気管支充填術が有効であった2例

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Abstract

<p>Background. Bronchial artery embolization (BAE) and surgery are considered the standard therapies for the effective management of massive hemoptysis. However, in some cases, it can be particularly challenging. We herein report two cases of massive hemoptysis managed using bronchial occlusion with an endobronchial Watanabe spigot (EWS) because of a poor general condition of the patients. Case 1. A 68-year-old woman presenting with hemoptysis due to lung cancer was referred to our hospital. However, she was unable to receive chemotherapy because of her poor general condition due to hemoptysis. Case 2. A 73-year-old man was referred to our hospital because of severe pulmonary edema due to ischemic heart disease. He immediately received mechanical ventilation and emergency percutaneous coronary intervention. However, the next day, he developed massive hemoptysis, which continued subsequently. In both cases, it was difficult to perform BAE or surgery. Therefore, they were managed by bronchial occlusion with an EWS and thus were successfully treated without any complications. Conclusion. For the effective management of hemoptysis in patients with a poor general condition, bronchial occlusion with an EWS is a safe and effective treatment alternative.</p>

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