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  • Title: [Fibrinogen-thrombin as bridge therapy in massive hemoptysis].
    Author: Cuervo F, Giraldo LF, Vélez C, Forero MR.
    Journal: Biomedica; 2013; 33(1):28-30. PubMed ID: 23715303.
    Abstract:
    This article presents the case of a young woman with massive hemoptysis (1,000 mL in 6 hours) due to tuberculosis, which could not be controlled by insertion of a Fogarty catheter through a fiber-optic bronchoscope. Because of asphyxia and persistent bleeding risk we instilled fibrinogen-thrombin through a fiber-optic bronchoscope inserted catheter, achieving bleeding cessation and permitting the placing of a double-lumen oro-tracheal tube. Later on, the patient underwent lobectomy and anti-tuberculosis treatment. The fibrinogen-thrombin could be considered as a bridge, transitory measure for massive hemoptysis, while definitive treatment could be established.
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