Bronchial occlusion with endobronchial Watanabe spigots using a two‐scope technique for massive haemoptysis

Author:

Baba Tomoya1,Ito Takayasu1ORCID,Sato Yoshiki1,Hayai Shunsaku1,Koyama Junji1,Nakamura Shota2,Tokuda Yoshiyuki3,Chen‐Yoshikawa Toyofumi Fengshi2,Ishii Makoto1

Affiliation:

1. Department of Respiratory Medicine Nagoya University Graduate School of Medicine Nagoya Japan

2. Department of Thoracic Surgery Nagoya University Graduate School of Medicine Nagoya Japan

3. Department of Cardiac Surgery Nagoya University Graduate School of Medicine Nagoya Japan

Abstract

AbstractMassive haemoptysis is a life‐threatening condition whose cause needs to be identified rapidly so that prompt interventions can ensue. Bronchial occlusion with endobronchial Watanabe spigots (EWSs) may be useful when endovascular treatment or surgery proves to be difficult. An 84‐year‐old woman developed massive haemoptysis during percutaneous mitral valve repair for refractory heart failure due to severe mitral regurgitation (MR). Interventional radiology (IVR) and surgery were contraindicated, and bronchial occlusion with EWSs was attempted to control bleeding. The bleeding was so persistent that it was difficult to secure the visual field without aspiration with a bronchoscope. Herein, we report a two‐scope technique, also used in cryobiopsy of peripheral lung lesions, to control bleeding and perform bronchial occlusion with EWSs.

Publisher

Wiley

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