Paediatric Respiratory Reviews
Volume 9, Issue 2 , Pages 95-104, June 2008

Haemoptysis and bronchial artery embolization in children

Department of Radiology, Great Ormond Street Hospital, London WC1N 3JH, UK

Summary 

Haemoptysis varies in significance from trivial to fatal. The most common causes in children are tuberculosis, fungal infections and bronchiectasis of any cause. In populations of European origin, cystic fibrosis is the most common predisposing factor. Chronic or life-threatening haemoptysis requires further investigation. Various forms of treatment are possible, and management is optimized when a multidisciplinary team is available.

Bronchial artery embolization (BAE) is effective in controlling haemoptysis in most cases, although recurrent bleeding is not uncommon. BAE is often technically challenging, however, and requires angiographic skills that are not always available in children's hospitals. Although the procedure is usually regarded as relatively safe, complications are not uncommon and may be severe or even fatal.

Keywords: haemoptysis, cystic fibrosis, therapeutic embolization, bronchial arteries, tuberculosis

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PII: S1526-0542(07)00132-7

doi:10.1016/j.prrv.2007.12.003

Paediatric Respiratory Reviews
Volume 9, Issue 2 , Pages 95-104, June 2008