Open AccessGlue therapy in hemoptysis: A new technique
Author(s) -
Rakesh K. Chawla,
Arun Madan,
Dinesh Mehta,
Aditya K. Chawla
Publication year - 2012
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.99125
Subject(s) - medicine , bronchial artery , glue , hemostatics , cyanoacrylate , catheter , surgery , bronchoscopy , embolization , radiology , hemostasis , adhesive , chemistry , materials science , organic chemistry , layer (electronics) , composite material
Hemoptysis is defined as the spitting of blood derived from the lungs or bronchial tubes as a result of pulmonary or bronchial hemorrhage. There is a large chunk of patients with hemoptysis who do not respond to conservative treatment including use of cough suppressants, antibiotics, vitamin C, hemostatics, and anxiolytics. The advanced management of such a situation is bronchial artery embolization (BAE) or open thoracic surgery, which is often not possible. We have attempted a cheap, effective, and safe alternative in the form of intrabronchial instillation of glue (n-butyl cyanoacrylate) under vision with the help of a therapeutic video bronchoscope (OLYMPUS T-180). The glue is instilled through a polyethylene catheter placed through the working channel of the video bronchoscope.