Balloon embolization of bronchial artery: a new technique in massive hemoptysis

Aims: Massive hemoptysis, characterized by severe respiratory bleeding, requires immediate medical attention due to its high mortality rate. We described our experience with the parachute balloon embolization procedure for life-threatening massive hemoptysis in this article. Methods: The study was planned for 14 patients who presented with massive hemoptysis, had a high surgical risk, and failed medical and bronchoscopic treatment. The bleeding focus was embolized by placing the balloon, which was cut in half and separated from its shaft, using the new parachute technique. Results: Hemorrhage was effectively controlled in all individuals. One patient died during the in hospital follow-up. During the 6-month follow-up period, there were no instances of repeated bleeding detected in the 13 patients. Conclusion: The use of balloon embolization using the parachute approach can be an effective and safe bail out treatment option for those with severe hemoptysis. Furthermore, this technique may facilitate the development of new treatment modalities and the creation of novel devices in the future.