Late Major Hemoptysis After Lung Volume Reduction With Coils Induced by Dual Antiaggregation Therapy

The Annals of Thoracic Surgery
Antonio ValentiAlban Lovis

Abstract

Lung-volume reduction using coils is an effective and safe treatment for selected patients presenting severe emphysema and hyperinflation. Most complications occur during the first 30 days after the procedure. Although frequent, hemoptysis is usually transient and minor. Antiaggregation therapy is common in patients with emphysema who, very often, have additional tobacco-associated comorbidities. Aspirin is considered safe for most major interventions; however, clopidogrel is mainly contraindicated and considered an exclusion criterion. We present a case of life-threatening hemoptysis caused by dual antiaggregation therapy "accidentally" introduced 3 months after the procedure. So far no recommendations exist on the optimal therapeutic strategy after lung-volume reduction with coils.

References

May 22, 2003·The New England Journal of Medicine·Alfred FishmanUNKNOWN National Emphysema Treatment Trial Research Group
Dec 3, 2013·European Respiratory Review : an Official Journal of the European Respiratory Society·Arnaud CavaillèsPatrice Diot
Jun 7, 2014·Respiration; International Review of Thoracic Diseases·Karin KloosterDirk-Jan Slebos
Nov 25, 2014·Respirology : Official Journal of the Asian Pacific Society of Respirology·Jorine E HartmanDirk-Jan Slebos

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