International Journal of Head and Neck Surgery

Register      Login

VOLUME 6 , ISSUE 3 ( July-September, 2015 ) > List of Articles


The use of a Fogarty Catheter in a Case of an Endobronchial Blood Clot in a Laryngectomy Patient

Billy Wong

Citation Information : Wong B. The use of a Fogarty Catheter in a Case of an Endobronchial Blood Clot in a Laryngectomy Patient. Int J Head Neck Surg 2015; 6 (3):118-120.

DOI: 10.5005/jp-journals-10001-1238

Published Online: 01-12-2016

Copyright Statement:  Copyright © 2015; The Author(s).



Endobronchial blood clot causing airway obstruction is a rare but potentially life-threatening condition and can occur in a variety of clinical settings.

Case report

A male laryngectomy, with a background of bronchogenic carcinoma was treated conservatively for tracheitis following an episode of upper respiratory tract infection. However, he later developed airway obstruction secondary to endobronchial bleeding with endobronchial clot formation. Conventional methods of suctioning and rigid bronchoscopy with forceps failed to remove the hematoma. A Fogarty embolec tomy catheter was used to remove the hematoma, relieving the airway obstruction.


The Fogarty embolectomy catheter has been widely used in various vascular operations for removal of arterial and venous emboli over the last years. However, its application in nonvascular cases is not widely published.


We report a case of tracheitis, complicated by an endobronchial clot in a laryngectomy patient, and demonstrated the use of Fogarty embolectomy catheter in such case when conventional methods fail.

How to cite this article

Wong B. The use of a Fogarty Catheter in a Case of an Endobronchial Blood Clot in a Laryn gectomy Patient. Int J Head Neck Surg 2015;6(3):118120.

PDF Share
  1. Asphyxia by tracheobronchial thrombus. Am J Forensic Med Pathol 2005;26(4):327-329.
  2. Removal of obstructing blood clot from the lower airway: an alternative suction technique. Anaesthesia 2002;57(1):40-43.
  3. Case report: a ball valve blood clot in the airways-life-saving whole tube suction. Crit Care 2004;8(5):R289-290.
  4. Airway obstruction arising from blood clot: three reports and a review of the literature. Chest 1999;115(1):293-300.
  5. Endobronchial urokinase for dissolution of massive clot following transbronchial biopsy. Chest 1994;105(3):953-954.
  6. Endobronchial thrombolysis with streptokinase for airway obstruction due to blood clots. Mayo Clin Proc 1996;71(6):595-596.
  7. Emergency airway clot removal in acute hemorrhagic repiratory failure. Crit Care Med 1987;15(10): 985-986.
  8. Thrombi in the trachea of a dog secondary to placement of a tracheotomy tube. J Am Vet Med Assoc 2008;233(5):758-760.
  9. Endotracheal tube and tracheobronchial obstruction as causes of hypoventilation with high inspiratory pressures. Chest 1994;105(2): 550-552.
  10. Successful removal of a massive endobronchial blood clot by means of cryotherapy. J Bronchol Dedicat Bronchos Interven Pulmonol 2005;12(1):23-24.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.