Respiratory Medicine Case Reports (Jan 2022)

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

  • Masataka Taoka,
  • Go Makimoto,
  • Noriyuki Umakoshi,
  • Kiichiro Ninomiya,
  • Hisao Higo,
  • Yuka Kato,
  • Masanori Fujii,
  • Toshio Kubo,
  • Eiki Ichihara,
  • Kadoaki Ohashi,
  • Katsuyuki Hotta,
  • Masahiro Tabata,
  • Yoshinobu Maeda,
  • Katsuyuki Kiura

Journal volume & issue
Vol. 38
p. 101669

Abstract

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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.

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