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Bronchial Artery Embolization — Haemoptysis

Interventional Radiology · Cochin Hospital AP-HP · Paris

🩺 Pulmonary · Emergency

Bronchial Artery Embolization — Haemoptysis, Paris Cochin AP-HP

Massive haemoptysis · Bronchiectasis · Aspergillosis · TB · Local anaesthesia · Femoral access

📖 Overview

Bronchial artery embolization (BAE) controls haemoptysis (coughing blood) by blocking the abnormal bronchial arteries responsible for bleeding. Under fluoroscopic guidance, a catheter is advanced via the femoral artery to the bronchial arteries, which are then embolized with particles or coils.

BAE is effective in 85–95% of cases for acute control of haemoptysis. It is the first-line treatment for massive haemoptysis in patients with benign lung disease (bronchiectasis, tuberculosis sequelae, aspergillosis) where surgery is high-risk.

🎯 Indications

  • Massive haemoptysis (>200 mL/24h) — emergency or urgent BAE
  • Recurrent haemoptysis despite medical treatment
  • Haemoptysis in bronchiectasis, post-tuberculosis, cystic fibrosis
  • Pulmonary aspergillosis — chronic cavitary disease with bleeding
  • Haemoptysis in lung cancer (palliative)

🔗 Related pages

→ Lung tumour ablation→ IR overview→ 🇫🇷 Version française

🇫🇷 This page is also available in French: embolisation-bronchique.html