Palliative treatment of life-threatening hemoptysis with silicone stent insertion in advanced lung cancer

https://doi.org/10.4081/monaldi.2017.781

Authors

  • Emanuela Barisione | emanuela.barisione@hsanmartino.it Pulmonology Unit, IRCCS San Martino Hospital IST, Italy.
  • Carlo Genova Medical Oncology Unit, IRCCS San Martino Hospital IST, Italy.
  • Marco Grosso Pulmonology Unit, IRCCS San Martino Hospital IST, Italy.
  • Mercedes Pasquali Pulmonology Unit, IRCCS San Martino Hospital IST, Italy.
  • Alessandro Blanco Pulmonology Unit, IRCCS San Martino Hospital IST, Italy.
  • Raffaella Felletti Pulmonology Unit, IRCCS San Martino Hospital IST, Italy.
  • Mario Salio Pulmonology Unit, IRCCS San Martino Hospital IST, Italy.

Abstract

Massive hemoptysis is a stressful and life-threatening event that can occur in lung cancer patients. The management of this event is usually challenging, and can involve surgery, embolization, and bronchoscopy. Unfortunately, while surgery can offer a definitive solution to hemoptysis, lung cancer patients are often excluded from this approach. On the other hand, bronchial arterial embolization rarely results in long-term control of bleeding. Endoscopy allows a skilled physician to perform mechanical tamponade or laser photocoagulation of bleeding lesions and preserve the main airways. While endoscopic stent placement is usually performed in order to treat stenosis, it has been occasionally employed to isolate and mechanically block the bleeding sites within the bronchial tree. We present the cases of two patients suffering from lung cancer-related life-threatening hemoptysis; both patients were successfully treated by positioning a silicone stent during emergency bronchoscopy. Subsequently, we present a concise review of the available literature. 

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Published
2017-05-18
Info
Issue
Section
Pneumology - Case Reports
Keywords:
Lung cancer, massive hemoptysis, silicone stent, rigid bronchoscopy, laser photocoagulation.
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How to Cite
Barisione, Emanuela, Carlo Genova, Marco Grosso, Mercedes Pasquali, Alessandro Blanco, Raffaella Felletti, and Mario Salio. 2017. “Palliative Treatment of Life-Threatening Hemoptysis With Silicone Stent Insertion in Advanced Lung Cancer”. Monaldi Archives for Chest Disease 87 (1). https://doi.org/10.4081/monaldi.2017.781.

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