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Int J Angiol 2024; 33(04): 307-314
DOI: 10.1055/s-0042-1745839
Case Report

Bronchial Artery Embolization for Life-Threatening Hemoptysis in COVID-19 Patients

Mohammad Sadegh Keshmiri 
1   Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
,
Sina Aghdasi
1   Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
,
Sima Noorali
1   Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
,
Shadi Shafaghi
1   Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
,
Alireza Serati
1   Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
,
Farah Naghashzadeh
1   Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
,
Mohammad Reza Movahed
2   Department of Medicine, University of Arizona, Phoenix, Arizona
3   University of Arizona Sarver Heart Center, Tucson, Tucson, Arizona
,
Sharare Shadanfar
1   Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
,
Maryam Hajimoradi
1   Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
,
Babak Sharif Kashani
4   Tobacco Prevention and Control Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Abstract

After the outbreak of the novel coronavirus at the end of December 2019 in China, it has become a global pandemic. Clinical manifestation of coronavirus disease 2019 (COVID-19) has a wide range of presentations from asymptomatic to severe multi-organ involvement. Hemoptysis appears to be one of the major manifestations of severe acute respiratory syndrome that is related to COVID-19 infection. The occurrence of hemoptysis is multifactorial. However, massive hemoptysis is usually related to pulmonary aspergillosis or severe bronchiectasis due to corticosteroid pulse therapy that can be life-threatening. This manuscript presents five cases of successful life-saving bronchial artery embolization in patients with COVID-19 infection who were suffering from massive hemoptysis that was mostly related to aspergillosis and bronchiectasis. These cases are followed by a review of the literature.

Keywords

SARS-Cov-2 - invasive pulmonary aspergillosis - angioembolization - bronchiectasis - polyvinyl alcohol - embolization - hemoptysis


Publication History

Article published online:
19 May 2022

© 2022. International College of Angiology. This article is published by Thieme.

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