Эндоваскулярный гемостаз при раке легкого

The experience of endovascular treatment of bronchial hemorrhage while malignant lesions of lungs in 41 patients taken from September 1994 till September 2006 is given in the article. Among the patients were 30 men and 11 women. The age rate was from 35 till 80 years old. 30 patients had right-sided lesions, 7 patients had left-sided and 4 had both sided process. The most frequent was bronchial hemorrhage of 1a and 1b degrees, 1c and 2a, 2b, 3 degrees were observed rarer. The stop of bronchial hemorrhage was achieved by bronchial arteries opacification and their roentgenoendovascular occlusion by polyurethane embolus. In 2 cases roentgenoendovascular occlusion of segmental branch of bronchial artery was performed. Endovascular occlusion of bronchial artery was made in all patients. In 3 patients in 3 days the relapse of bronchial hemorrhage after removal of bronchoobturator set to all patients into the zone of interest before endovascular operation was observed. In other 38 patients after removal of bronchoobturator the relapses were not observed. One of 3 pointed patients died because of massive bronchial hemorrhage with asphyxia at the moment of removal of bronchooccluders. 2 other patients were operated in the nearest period. Endovascular occlusion of bronchial arteries at bronchial hemorrhage at carcinoma of lung lets to provide effective hemostasis and have time for stabilization of patient for further planned treatment.