Management of recurrent hemoptysis: a single-center experience

Authors: SEDA TURAL ÖNÜR, SEDAT ALTIN, FATMA TOKGÖZ AKYIL, KAAN KARA, SİNEM NEDİME SÖKÜCÜ, CENGİZ ÖZDEMİR, MEHMET AKİF ÖZGÜL, MUZAFFER METİN, LEVENT CANSEVER, AYSUN ÖLÇMEN, NURİ ÖZGÜR KILIÇKESMEZ

Abstract: Background/aim: A successful planning methodology for patients with hemoptysis promises overall improvement in patient care. Conducted in a reference center for chest diseases, the present study aims to analyze characteristics and predictors of interventional methods in patients with recurrent hemoptysis. Materials and methods: The present study is a single-center, retrospective observational study. Between 2015 and 2018, 5973 patients with follow-up data until 2021 requiring more than one hospitalization due to recurrent hemoptysis were investigated. Patient characteristics, the amount of hemoptysis, baseline admission parameters, interventional procedures of bronchial artery embolization (BAE), fiberoptic bronchoscopy, rigid bronchoscopy, and surgical resections applied were analyzed according to number of hospitalizations and outcome. Results: Hospital admission numbers were higher in patients with sequela of tuberculosis, bronchiectasis and lung cancer. While lung cancer was the most frequent underlying reason in recurrent admissions, it was determined that as the amount of bleeding increased, the number of admissions also increased to the hospital, and BAE and rigid bronchoscopy were performed more frequently in the groups with less frequent admissions. There was no statistically significance between the amount of bleeding, and the interventional procedure alone or in combination with another procedure (p > 0.05). Conclusion: In conclusion, patients with certain diseases may experience frequent hospital admissions due to hemoptysis. Recurrent admissions may get better results with BAE and rigid bronchoscopy. We think that these procedures should be preferred in the foreground of suitable patient selection in line with available facilities and experience.

Keywords: Hemoptysis, bronchoscopy, embolization, surgery, rigid

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