Approach to Hemoptysis in the Modern Era

Can Respir J. 2017:2017:1565030. doi: 10.1155/2017/1565030. Epub 2017 Dec 21.

Abstract

Hemoptysis is a frequent manifestation of a wide variety of diseases, with mild to life-threatening presentations. The diagnostic workup and the management of severe hemoptysis are often challenging. Advances in endoscopic techniques have led to different new therapeutic approaches. Cold saline, vasoconstrictive and antifibrinolytic agents, oxidized regenerated cellulose, biocompatible glue, laser photocoagulation, argon plasma coagulation, and endobronchial stents and valves are amongst the tools available to the bronchoscopist. In this article, we review the evidence regarding the definition, etiology, diagnostic modalities, and treatment of severe hemoptysis in the modern era with emphasis on bronchoscopic techniques.

Publication types

  • Review

MeSH terms

  • Adhesives / therapeutic use*
  • Antifibrinolytic Agents / therapeutic use*
  • Argon Plasma Coagulation / methods
  • Biocompatible Materials
  • Bronchoscopy / methods*
  • Cellulose / therapeutic use*
  • Cryotherapy / methods
  • Hemoptysis / therapy*
  • Hemostasis, Surgical / methods*
  • Humans
  • Laser Coagulation / methods
  • Stents
  • Vasoconstrictor Agents / therapeutic use*

Substances

  • Adhesives
  • Antifibrinolytic Agents
  • Biocompatible Materials
  • Vasoconstrictor Agents
  • Cellulose
  • rayon, purified