Correlation of pulmonary capillary wedge pressure with left atrial pressure in patients with mitral stenosis before and after balloon mitral valvotomy

摘要

Background: Hemoptysis is a common emergency coming to thepulmonary medicine and general Medicine department. Massivehemoptysis has high mortality even with surgery. Bronchial arteryembolization is an effective alternative to surgery for controllinghemoptysis, with high success rate.Methods: 74 consecutive patients coming to our hospital withmoderate to severe hemoptysis were subjected to bronchial arteryembolization (BAE). Femoral arterial puncture was the commonestapproach. Some patients, where the culprit vessel was arisingfrom subclavian artery, were approached from radial arterypuncture. All patients were embolized with poly vinyl alcoholparticles.Results: Out of 74 patients, 54 were male and 20 were female. Themean age was 46.67±14.58 yrs. Cause of hemoptysis was tuberculosisin 64 patients, bronchiectasis in two, aspergillosis in twoand in six the cause was not known. Total 192 vessels wereembolized, 86 bronchial, 43 from subclavian, 53 intercostals and20 internal mammaries.Within one year, recurrence occurred in 13 patients three ofwhom died. In 9 patients, the bleeding was controlled with repeatBAE.Conclusion: Commonest cause of hemoptysis was pulmonarytuberculosis. BAE had initial success of 100%. Recurrence occurredin 13 (17.56%) patients. Repeat BAE was successful in majority ofthese. 3 patients died of recurrent hemoptysis.