Pulmonary Artery Embolization Procedurein Hyderabad

What are the diseases treated by bronchial artery and pulmonary artery interventions ?

Pulmonary AVMs are rare pulmonary vascular malformations seen in the lungs. They have abnormal connections between the arteries and veins supplying the lungs. Patients with pulmonary AVM can develop hemoptysis, infections in the brain etc. If detected and symptomatic pulmonary AVMs can be treated by endovascular coil embolisation.

What are the outcomes of bronchial artery embolisation in treating massive hemoptysis ?

Bronchial artery embolization may be life saving in 80-90 % of patients with massive hemoptysis. However, its effect is palliative for symptom relief, the primary disease ( lung infection, lung cavity) needs to be treated by either by surgery or medication.

How bronchial artery embolisation is done ?

It is done by inserting small catheters (plastic tubes) in the blood vessel in the groin through a small pinhole incision. These catheters will be taken till the target blood vessel and the embolizing agent ( drug which can close the bleeding vessel) is injected into the bleeding blood vessel in the lung. Damage to the normal lung circulation is avoided during the procedure. The patient needs 6 hours of bed rest after the procedure. He can walk, do routine activities later.

What are the emergency bleeding conditions ?

Diseases of various organs can causing bleeding either by invading or involving the blood vessels themselves. Most of the times these episodes of bleeding are manageable by medication or local measures. However, some times if it is torrential, it may be life threatening and it may require an open surgery to close the blood vessel for controlling the bleeding. Embolization technique achieves the same purpose without an open surgery, by selectively closing the bleeding blood vessels through small tubes inserted through the thigh

Few examples of emergency bleeding conditions and clinical features

How do an interventional radiologist treats an acute bleeding condition ?

Many of the emergency bleeding conditions can be treated by interventional radiology in a minimal invasive way. By passing small tubes and selectively cannulating the bleeding vessels, the interventional radiologist will be able to put closing materials (embolic agents) into the involved blood vessels, to close off the vessels. It is relatively safe, noninvasive does not require general anaesthesia and most importantly relatively quickly can be done in an unstable patient.

What are the types of embolizations those can be done in acute bleeding conditions ?