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13-07-2023 | Hemoptysis | Case Study

Successful hemostatic radiotherapy for massive airway bleeding from infectious pulmonary cavity: a case report

Authors: David Eckert, MD, Thomas Gaisl, Matthias Guckenberger, Filipa Branco Venancio, Michele Keane, Laura Motisi, Primoz Petric

Published in: Strahlentherapie und Onkologie | Issue 9/2023

Abstract

We present a patient with life-threatening airway bleeding from an infectious pulmonary cavity with limited treatment options. Bronchial artery embolization was unsuccessful. Surgery was not feasible due to compromised lung function. Lung transplant was considered but not endorsed. Palliative hemostatic radiotherapy with 20 Gy in 5 fractions was delivered to the site of bleeding as a last resort. Hemoptysis gradually disappeared within a month and did not recur during the 4‑month follow-up. There were no side effects. We highlight the potential of radiotherapy for massive hemoptysis of infectious etiology, especially in cases with exhausted standard treatment options.

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Title: Successful hemostatic radiotherapy for massive airway bleeding from infectious pulmonary cavity: a case report
Authors: David Eckert, MD
Thomas Gaisl
Matthias Guckenberger
Filipa Branco Venancio
Michele Keane
Laura Motisi
Primoz Petric
Publication date: 13-07-2023
Publisher: Springer Berlin Heidelberg
Keywords: Hemoptysis
Hemoptysis
Radiotherapy
Aspergillosis
Published in: Strahlentherapie und Onkologie / Issue 9/2023
Print ISSN: 0179-7158
Electronic ISSN: 1439-099X
DOI: https://doi.org/10.1007/s00066-023-02110-9

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Successful hemostatic radiotherapy for massive airway bleeding from infectious pulmonary cavity: a case report

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