Massive hemoptysis in a post-operative patient with recurrent lung cancer successfully treated by the combination therapy of Endobronchial Watanabe Spigot and bronchial artery embolization

Masataka Taoka; Go Makimoto; Noriyuki Umakoshi; Kiichiro Ninomiya; Hisao Higo; Yuka Kato; Masanori Fujii; Toshio Kubo; Eiki Ichihara; Kadoaki Ohashi; Katsuyuki Hotta; Masahiro Tabata; Yoshinobu Maeda; Katsuyuki Kiura

doi:10.1016/j.rmcr.2022.101669

Massive hemoptysis in a post-operative patient with recurrent lung cancer successfully treated by the combination therapy of Endobronchial Watanabe Spigot and bronchial artery embolization

Respir Med Case Rep. 2022 May 23:38:101669. doi: 10.1016/j.rmcr.2022.101669. eCollection 2022.

Authors

Affiliations

¹ Department of Allergy and Respiratory Medicine, Okayama University Hospital, Japan.
² Division of Hospital-Based Cancer Registry, Okayama University Hospital, Japan.
³ Department of Radiology, Okayama University Hospital, Japan.
⁴ Center for Innovative Clinical Medicine, Okayama University Hospital, Japan.
⁵ Center for Clinical Oncology, Okayama University Hospital, Japan.
⁶ Department of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho Kita-ku, Okayama, 700-8558, Japan.

Abstract

A 76-year-old woman who was treated with lorlatinib for postoperative recurrent anaplastic lymphoma kinase-positive lung adenocarcinoma visited our hospital with massive hemoptysis. Chest computed tomography showed massive bleeding from the right upper lobe; however, the cause of bleeding was unclear. After bronchial artery embolization (BAE), bronchial occlusion was performed using an Endobronchial Watanabe Spigot (EWS) that was easily placed because BAE had reduced the bleeding volume. Treatment with BAE alone was inadequate; however, additional therapy with EWS after BAE successfully controlled the massive hemoptysis, especially in this patient who underwent lobectomy to prevent respiratory dysfunction.

Keywords: Bronchial artery embolization; Endobronchial Watanabe Spigot; Endoscopic bronchial occlusion; Hemoptysis.

Publication types

Case Reports