Chawla Rakesh K, Madan Arun, Mehta Dinesh, Chawla Aditya
Department of Respiratory Medicine, Critical Care and Sleep Medicine, Jaipur Golden Hospital, Rohini, New Delhi, India.
Lung India. 2012 Jul;29(3):293-4. doi: 10.4103/0970-2113.99125.
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.