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Bronchial Artery Embolisation and Sphigot Insertion of Bronchus

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.

Bronchial Artery Embolisation and Sphigot Insertion of Bronchus

Pre procedure CT Scan

Bronchial Artery Embolisation and Sphigot Insertion of Bronchus

Pre procedure X ray

Bronchial Artery Embolisation and Sphigot Insertion of Bronchus

Pre procedure CT Scan

Bronchial Artery Embolisation and Sphigot Insertion of Bronchus

CT thoracic angiograph

Bronchial Artery Embolisation and Sphigot Insertion of Bronchus

Active hemoptysis

Bronchial Artery Embolisation and Sphigot Insertion of Bronchus

Placement of sphigot in right upper bronchus

Bronchial Artery Embolisation and Sphigot Insertion of Bronchus

Placement of sphigot in right upper lobe bronchus

Bronchial Artery Embolisation and Sphigot Insertion of 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)

Dr. Viswesvaran Balasubramanian

MD, DNB, DM (Pulmonary-Gold Medal), Fellowship in Sleep Medicine (Gold Medalist), Fellowship in Interventional Pulmonology (Malaysia)
Consultant Interventional Pulmonology and Sleep Medicine

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