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Bronchial Artery Embolization on patient brought from neighboring hospital

On 23rd April 2019, 58 year old Mrs. Mousumi Bhattacharya, who was admitted to a neighboring hospital, underwent an embolization of both the bronchial arteries at Fortis Hospital Anandapur. A known case of Type II Diabetes Mellitus and Hypertension with Colon Cancer, the patient was admitted to the neighboring hospital with complaints of Hemoptysis with Malena in case of Post Koch’s fibrosis with Bronchiectasis. The patient was transferred to Fortis Anandapur on 23rd April 2019 for Bronchial Artery Embolization on an emergency basis.

The embolization of the bleeding bronchial artery (right and branch from left) was conducted in a procedure, which lasted around 30minutes. The right main bronchial artery was unusually large, feeding whole fibrotic area of right lung with patchy deposition of dye, indicating active bleeding. It was successfully embolized injecting PVA particles followed by deployment of 2 stainless steel coils. The left bronchial artery was a smaller vessel but gave a branch to the fibrosed area in the lower lobe of the right lung, also showing patchy deposition of dye, indicating site of bleeding. This vessel was embolized by injecting PVA particles only. Post procedure, the patient was shifted to the recovery room for observation and was discharged to the neighboring hospital within 4 hours of the procedure.               

Bronchial artery embolization offers a minimally invasive procedure for even the most compromised patient serving as first-line treatment for hemorrhage as well as providing a bridge to more definitive medical or surgical intervention focused upon the etiology of the hemorrhage.

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