Skip to main content
SpringerLink
Log in

Bronchial Artery Interventions in Children

  • Chapter
  • First Online:
Pediatric Interventional Radiology

Abstract

Hemoptysis, defined as the expectoration of blood or bloody sputum, is rare in children. It must be differentiated from mimics such as gastrointestinal bleeding and nosebleeds. While there are many etiologies for pulmonary hemorrhage, cystic fibrosis (CF) is the most common cause of severe hemoptysis in the western hemisphere and developed countries.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Roebuck DJ, Barnacle AM. Haemoptysis and bronchial artery embolization in children. Paediatr Respir Rev. 2008;9(2):95–104.

    Article  PubMed  Google Scholar 

  2. Serasli E, Kalpakidis V, Iatrou K, Tsara V, Siopi D, Christaki P. Percutaneous bronchial artery embolization in the management of massive hemoptysis in chronic lung diseases. Immediate and long-term outcomes. Int Angiol. 2008;27(4):319–28.

    CAS  PubMed  Google Scholar 

  3. Andersen PE. Imaging and interventional radiological treatment of hemoptysis. Acta Radiol. 2006;47(8):780–92.

    Article  CAS  PubMed  Google Scholar 

  4. Antonelli M, Midulla F, Tancredi G, Salvatori FM, Bonci E, Cimino G, Flaishman I. Bronchial artery embolization for the management of nonmassive hemoptysis in cystic fibrosis. Chest. 2002;121(3):796–801.

    Article  PubMed  Google Scholar 

  5. Yoon W, Kim JK, Kim YH, Chung TW, Kang HK. Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review. Radiographics. 2002;22(6):1395–409.

    Article  PubMed  Google Scholar 

  6. Kalva SP. Bronchial artery embolization. Tech Vasc Interv Radiol. 2009;12(2):130–8.

    Article  PubMed  Google Scholar 

  7. Brinson GM, Noone PG, Mauro MA, Knowles MR, Yankaskas JR, Sandhu JS, Jaques PF. Bronchial artery embolization for the treatment of hemoptysis in patients with cystic fibrosis. Am J Respir Crit Care Med. 1998;157(6 Pt 1):1951–8.

    Article  CAS  PubMed  Google Scholar 

  8. Ashleigh RJ, Webb AK. Radiological intervention for haemoptysis in cystic fibrosis. J R Soc Med. 2007;100 Suppl 47:38–45.

    PubMed  Google Scholar 

  9. Fairfax AJ, Ball J, Batten JC, Heard BE. A pathological study following bronchial artery embolization for haemoptysis in cystic fibrosis. Br J Dis Chest. 1980;74(4):345–52.

    Article  CAS  PubMed  Google Scholar 

  10. Barben J, Robertson D, Olinsky A, Ditchfield M. Bronchial artery embolization for hemoptysis in young patients with cystic fibrosis. Radiology. 2002;224(1):124–30.

    Article  PubMed  Google Scholar 

  11. Cipolli M, Perini S, Valletta EA, Mastella G. Bronchial artery embolization in the management of hemoptysis in cystic fibrosis. Pediatr Pulmonol. 1995;19(6):344–7.

    Article  CAS  PubMed  Google Scholar 

  12. Vidal V, Therasse E, Berthiaume Y, Bommart S, Giroux MF, Oliva VL, Abrahamowicz M, du Berger R, Jeanneret A, Soulez G. Bronchial artery embolization in adults with cystic fibrosis: impact on the clinical course and survival. J Vasc Interv Radiol. 2006;17(6):953–8.

    Article  PubMed  Google Scholar 

  13. Lau EM, Yozghatlian V, Kosky C, Moriarty C, Dentice R, Waugh R, Torzillo PJ, Bye PT. Recombinant activated factor VII for massive hemoptysis in patients with cystic fibrosis. Chest. 2009;136(1):277–81.

    Article  CAS  PubMed  Google Scholar 

  14. Barben JU, Ditchfield M, Carlin JB, Robertson CF, Robinson PJ, Olinsky A. Major haemoptysis in children with cystic fibrosis: a 20-year retrospective study. J Cyst Fibros. 2003;2(3):105–11.

    Article  PubMed  Google Scholar 

  15. Chun JY, Morgan R, Belli AM. Radiological management of hemoptysis: a comprehensive review of diagnostic imaging and bronchial arterial embolization. Cardiovasc Intervent Radiol. 2010;33(2):240–50.

    Article  PubMed  Google Scholar 

  16. Holsclaw DS, Grand RJ, Schwachman H. Massive hemoptysis in cystic fibrosis. J Pediatr. 1970;76:838.

    Article  Google Scholar 

  17. Stern RC, Wood RE, Boat TF, Matthews LW, Tucker AS, Doershuk C. Treatment and prognosis of massive hemoptysis in cystic fibrosis. Am Rev Respir Dis. 1978;117:825–8.

    CAS  PubMed  Google Scholar 

  18. Graff GR. Treatment of recurrent severe hemoptysis in cystic fibrosis with tranexamic acid. Respiration. 2001;68(1):91–4.

    Article  CAS  PubMed  Google Scholar 

  19. Cauldwell EW, Siekert RG, et al. The bronchial arteries: an anatomic study of 150 human cadavers. Surg Gynecol Obstet. 1948;86(4):395–412.

    CAS  PubMed  Google Scholar 

  20. Uflacker R, Kaemmerer A, Picon PD, Rizzon CF, Neves CM, Oliveira ES, Oliveira ME, Azevedo SN, Ossanai R. Bronchial artery embolization in the management of hemoptysis: technical aspects and long-term results. Radiology. 1985;157(3):637–44.

    CAS  PubMed  Google Scholar 

  21. Furnari ML, Salerno S, Rabiolo A, Caravello V, Pardo F. Bronchial to subclavian shunt in a CF patient. A potential pitfall for embolization. J Cyst Fibros. 2003;2(4):217–9.

    Article  CAS  PubMed  Google Scholar 

  22. Rémy J, Voisin C, Dupuis C, Beguery P, Tonnel AB, Denies JL, Douay B. Treatment of hemoptysis by embolization of the systemic circulation. Ann Radiol. 1974;17(1):5–16.

    PubMed  Google Scholar 

  23. Barben J, Robertson D, Olinsky A, Ditchfield M. Bronchial artery embolization for hemoptysis in young patients with cystic fibrosis. Radiology. 2002;224(1):124–30.

    Article  PubMed  Google Scholar 

  24. Uflacker R, Kaemmerer A, Neves C, Picon PD. Management of massive hemoptysis by bronchial artery embolization. Radiology. 1983;146:627–34.

    CAS  PubMed  Google Scholar 

  25. Fellows KE, Khaw KT, Schuster S, Schwachman H. Bronchial artery embolization in cystic fibrosis: technique and long-term results. J Pediatr. 1979;95:959–63.

    Article  CAS  PubMed  Google Scholar 

  26. Tonkin IL, Hanissian AF, Boulden TF, Baum SL, Bavant RE, Gold RE, George P, Green WJ. Bronchial arteriography and embolotherapy for hemoptysis in patients with cystic fibrosis. Cardiovasc Intervent Radiol. 1991;14:241–6.

    Article  CAS  PubMed  Google Scholar 

  27. Fraser KL, Grosman H, Hyland RH, Tullis DE. Transverse myelitis: a reversible complication of bronchial artery embolisation in cystic fibrosis. Thorax. 1997;52(1):99–101.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  28. Heran MK, Marshalleck F, Temple M, Grassi CJ, Connolly B, Towbin RB, Baskin KM, Dubois J, Hogan MJ, Kundu S, Miller DL, Roebuck DJ, Rose SC, Sacks D, Sidhu M, Wallace MJ, Zuckerman DA, Cardella JF, Society of Interventional Radiology Standards of Practice Committee and Society of Pediatric Radiology Interventional Radiology Committee. Joint quality improvement guidelines for pediatric arterial access and arteriography: from the Societies of Interventional Radiology and Pediatric Radiology. J Vasc Interv Radiol. 2010;21(1):32–43.

    Article  PubMed  Google Scholar 

  29. Bruzzi JF, Rémy-Jardin M, Delhaye D, Teisseire A, Khalil C, Rémy J. Multi-detector row CT of hemoptysis. Radiographics. 2006;26(1):3–22.

    Article  PubMed  Google Scholar 

  30. Remy-Jardin M, Bouaziz N, Dumont P, Brillet PY, Bruzzi J, Remy J. Bronchial and nonbronchial systemic arteries at multi-detector row CT angiography: comparison with conventional angiography. Radiology. 2004;233(3):741–9.

    Article  PubMed  Google Scholar 

  31. McDougall RJ, Sherrington CA. Fatal pulmonary haemorrhage during anaesthesia for bronchial artery embolization in cystic fibrosis. Paediatr Anaesth. 1999;9(4):345–8.

    Article  CAS  PubMed  Google Scholar 

  32. Yovichevich S. Commentary on bronchial artery embolization for hemoptysis in young patients with cystic fibrosis. Radiology. 2003;228(3):903–4.

    Article  PubMed  Google Scholar 

  33. Bookstein JJ, Moser KM, Kalafer ME, et al. The role of bronchial arteriography and therapeutic embolization in haemoptysis. Chest. 1977;72:658.

    Article  CAS  PubMed  Google Scholar 

  34. Boushy SE, Helgason AH, North LB. Occlusion of the bronchial arteries by glass microspheres. Am Rev Respir Dis. 1971;103:249–63.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Nationwide Children’s Hospital, The Ohio State University, 700 Children’s Drive, Columbus, OH, 45205, USA

    Mark J. Hogan M.D.

Authors
  1. Mark J. Hogan M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mark J. Hogan M.D. .

Editor information

Editors and Affiliations

  1. Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada

    Michael Temple

  2. Riley Hospital for Children-Indiana University Health, Indianapolis, Indiana, USA

    Francis E. Marshalleck

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Hogan, M.J. (2014). Bronchial Artery Interventions in Children. In: Temple, M., Marshalleck, F. (eds) Pediatric Interventional Radiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5856-3_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4419-5856-3_6

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-5855-6

  • Online ISBN: 978-1-4419-5856-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation