풍선 카테터와 기관지동맥색전술을 이용한 기관지 출혈 치료 1례

Other Titles
Treatment of Endobronchial Hemorrhage Using Balloon Tamponade and Bronchial Artery Embolization
Authors
김민근김지원백상아송정은박연웅김경찬
Citation
Keimyung Medical Journal, Vol.33(1) : 65-70, 2014
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.
Keywords
Balloon tamponadeBronchial artery embolizationBronchoscopyHemorrhage
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15633
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2014
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