Bronchial occlusion with endobronchial Watanabe spigots using a two‐scope technique for massive haemoptysis

Massive haemoptysis is a life‐threatening condition whose cause needs to be identified rapidly so that prompt interventions can ensue. Bronchial occlusion with endobronchial Watanabe spigots (EWSs) may be useful when endovascular treatment or surgery proves to be difficult. An 84‐year‐old woman deve...

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Bibliographic Details
Published in:Respirology case reports 2024-06, Vol.12 (6), p.e01405-n/a
Main Authors: Baba, Tomoya, Ito, Takayasu, Sato, Yoshiki, Hayai, Shunsaku, Koyama, Junji, Nakamura, Shota, Tokuda, Yoshiyuki, Chen‐Yoshikawa, Toyofumi Fengshi, Ishii, Makoto
Format: Article
Language:English
Subjects:
bronchial occlusion
Bronchoscopy
Case Report
Case Reports
endobronchial Watanabe spigot
Extracorporeal membrane oxygenation
Heart failure
massive haemoptysis
Surgery
Tomography
two‐scope technique
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Summary:Massive haemoptysis is a life‐threatening condition whose cause needs to be identified rapidly so that prompt interventions can ensue. Bronchial occlusion with endobronchial Watanabe spigots (EWSs) may be useful when endovascular treatment or surgery proves to be difficult. An 84‐year‐old woman developed massive haemoptysis during percutaneous mitral valve repair for refractory heart failure due to severe mitral regurgitation (MR). Interventional radiology (IVR) and surgery were contraindicated, and bronchial occlusion with EWSs was attempted to control bleeding. The bleeding was so persistent that it was difficult to secure the visual field without aspiration with a bronchoscope. Herein, we report a two‐scope technique, also used in cryobiopsy of peripheral lung lesions, to control bleeding and perform bronchial occlusion with EWSs. We present a case of massive haemoptysis in which bleeding was controlled by bronchial occlusion with endobronchial Watanabe spigots (EWSs) using a two‐scope technique while securing the field of view.
ISSN:2051-3380
2051-3380
DOI:10.1002/rcr2.1405