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Cochin Hospital ยท AP-HP ยท Universitรฉ Paris Citรฉ
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Cochin AP-HP

Bronchial Artery Embolization โ€” Haemoptysis

Interventional Radiology ยท Cochin Hospital AP-HP ยท Paris

๐Ÿฉบ Pulmonary ยท Emergency

Bronchial Artery Embolization โ€” Haemoptysis, Paris Cochin AP-HP

Massive haemoptysis ยท Bronchiectasis ยท Aspergillosis ยท TB ยท Local anaesthesia ยท 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 85โ€“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.

Bronchial artery embolization at a glance โ€” At a glance

Bronchial artery embolization stops coughing up blood (haemoptysis) by blocking the abnormal arteries responsible, often as an emergency procedure.

Criterion Data
EffectivenessImmediate bleeding control in 85โ€“90% of cases
IndicationsSignificant or recurrent haemoptysis, whatever the underlying cause
RecurrencePossible; repeat embolization can be performed if needed
CostCovered by French national health insurance at Cochin AP-HP โ€” no out-of-pocket fees

Data validated by the team of Prof. Anthony Dohan, Department of Interventional Radiology, Cochin Hospital AP-HP, Universitรฉ Paris Citรฉ.

Indications

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

Frequently asked questions

It is the blocking of abnormal bronchial arteries responsible for coughing up blood (haemoptysis), through a catheter, under local anaesthesia โ€” often as an emergency, life-saving procedure.
For significant or recurrent haemoptysis, whatever the cause (bronchiectasis, tuberculosis sequelae, tumour, cystic fibrosis), once the bleeding source has been identified on CT.
Bleeding is controlled immediately in around 85โ€“90% of cases. Recurrence is possible and a repeat embolization can be performed if needed.
Yes. At Cochin AP-HP (a French public hospital), this procedure is covered by national health insurance with no out-of-pocket fees. Contact ri.cch@aphp.fr or +33 1 58 41 46 12.

Related pages

๐Ÿ‡ซ๐Ÿ‡ท This page is also available in French: embolisation-bronchique.html

Why this page is trustworthy

Written by the Interventional Radiology team at Cochin Hospital AP-HP, Universitรฉ Paris Citรฉ. Medically reviewed by an interventional radiologist of the department. Last updated: August 2026.

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