Bronchial occlusion with Endobronchial Watanabe Spigots for massive hemoptysis in a patient with pulmonary Mycobacterium avium complex infection

Takashi Adachi; Kenji Ogawa; Noritaka Yamada; Toshinobu Nakamura; Taku Nakagawa; Osamu Tarumi; Yuta Hayashi; Yoshio Nakahara

doi:10.1016/j.resinv.2015.09.004

Bronchial occlusion with Endobronchial Watanabe Spigots for massive hemoptysis in a patient with pulmonary Mycobacterium avium complex infection

Respir Investig. 2016 Mar;54(2):121-4. doi: 10.1016/j.resinv.2015.09.004. Epub 2015 Nov 20.

Authors

Takashi Adachi¹, Kenji Ogawa², Noritaka Yamada³, Toshinobu Nakamura⁴, Taku Nakagawa⁵, Osamu Tarumi⁶, Yuta Hayashi⁷, Yoshio Nakahara⁸

Affiliations

¹ Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, 5-101 Umemorizaka, Meito-ku, Nagoya, Aichi 468-8620, Japan. Electronic address: tadachi@med.nagoya-u.ac.jp.
² Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, 5-101 Umemorizaka, Meito-ku, Nagoya, Aichi 468-8620, Japan. Electronic address: ogawak-4@hosp.go.jp.
³ Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, 5-101 Umemorizaka, Meito-ku, Nagoya, Aichi 468-8620, Japan. Electronic address: noritaka-2@hosp.go.jp.
⁴ Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, 5-101 Umemorizaka, Meito-ku, Nagoya, Aichi 468-8620, Japan. Electronic address: toshinobu.na@gmail.com.
⁵ Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, 5-101 Umemorizaka, Meito-ku, Nagoya, Aichi 468-8620, Japan. Electronic address: nkgwtk@hosp.go.jp.
⁶ Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, 5-101 Umemorizaka, Meito-ku, Nagoya, Aichi 468-8620, Japan. Electronic address: taru@hosp.go.jp.
⁷ Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, 5-101 Umemorizaka, Meito-ku, Nagoya, Aichi 468-8620, Japan. Electronic address: hayay@hosp.go.jp.
⁸ Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, 5-101 Umemorizaka, Meito-ku, Nagoya, Aichi 468-8620, Japan. Electronic address: yoshi_naka2@yahoo.co.jp.

PMID: 26879482
DOI: 10.1016/j.resinv.2015.09.004

Abstract

The safety of occlusion with Endobronchial Watanabe Spigots (EWS) for the management of hemoptysis associated with chronic respiratory tract infection has not yet been established. A 57-year-old woman diagnosed as having pulmonary Mycobacterium avium complex (MAC) infection presented to our hospital with hemoptysis. She underwent bronchoscopy for bronchial occlusion with EWS, which resulted in the resolution of hemoptysis. Subsequently, she underwent bronchial artery embolization and then EWS were removed. During placement of EWS, no worsening of infection was observed. After removal of EWS, there was no recurrence of hemoptysis. Bronchial occlusion with EWS for hemoptysis associated with pulmonary MAC infection can be performed safely.

Keywords: Bronchial occlusion; Chronic respiratory tract infection; Endobronchial Watanabe Spigots; Massive hemoptysis; Mycobacterium avium complex.

Publication types

Case Reports

MeSH terms

Bronchial Arteries*
Bronchoscopy / instrumentation
Bronchoscopy / methods*
Embolization, Therapeutic / methods*
Female
Hemoptysis / etiology*
Hemoptysis / therapy*
Humans
Middle Aged
Mycobacterium avium-intracellulare Infection / complications*
Treatment Outcome
Tuberculosis, Pulmonary / complications*