Massive hemoptysis in a post-operative patient with recurrent lung cancer successfully treated by the combination therapy of Endobronchial Watanabe Spigot and bronchial artery embolization

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Abstract

A 76-year-old woman who was treated with lorlatinib for postoperative recurrent anaplastic lymphoma kinase-positive lung adenocarcinoma visited our hospital with massive hemoptysis. Chest computed tomography showed massive bleeding from the right upper lobe; however, the cause of bleeding was unclear. After bronchial artery embolization (BAE), bronchial occlusion was performed using an Endobronchial Watanabe Spigot (EWS) that was easily placed because BAE had reduced the bleeding volume. Treatment with BAE alone was inadequate; however, additional therapy with EWS after BAE successfully controlled the massive hemoptysis, especially in this patient who underwent lobectomy to prevent respiratory dysfunction.

Original languageEnglish
Article number101669
JournalRespiratory Medicine Case Reports
Volume38
DOIs
Publication statusPublished - Jan 2022

Keywords

  • Bronchial artery embolization
  • Endobronchial Watanabe Spigot
  • Endoscopic bronchial occlusion
  • Hemoptysis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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