Anees J. Razzouk, MD, Loma Linda, Calif: Massive hemoptysis constitutes a medical emergency that may be associated with a variety of bronchopulmonary neoplastic, inflammatory, infectious, traumatic, or congenital conditions. Patients with nontraumatic major hemoptysis have a high mortality. Currently, the management of hemoptysis may be medical, surgical, endobronchial, endovascular, or any combination of these modalities. For the past 25 years, transcatheter hemostatic techniques have been used to control massive, life-threatening, or repeated hemoptysis. Dr Fernando and colleagues are commended for addressing "the modern morbidity of hemoptysis" and attempting to define the role of TBAE in the management of hemoptysis. On the one hand, this report is a retrospective review of their experience with 26 patients having TBAE from 1986 to 1995; on the other hand, it is limited to patients treated for hemoptysis between 1991 and 1995. I am sure the authors have their reasons for this odd mixing and unusual grouping of 2 patient populations!