Abstract: Objective To explore the value of selective bronchial artery embolization in treatment of acute pulmonary hemoptysis. Methods Clinical data about 94 patients with pulmonary hemoptysis undergoing embolization in the emergency department of our hospital from February 2015 to August 2018 were collected and evaluated. All patients underwent bronchial angiography to determine the blood supply and bleeding site of the bronchial artery. Microcatheter super selective bronchial artery cannulation was used for the diseased artery, and embolization was performed with embolization materials such as gelatin sponge, polyvinyl alcohol (PVA) particles and coils to stop bleeding. Results Of the 94 patients, there were 76 males and 18 females, aged from 23 to 91 years (mean age of 61 years old). The main causes of pulmonary hemoptysis were lung cancer, tuberculosis, lung abscess, bronchiectasis, and trauma. Bleeding was stopped in 91 patients after embolization, with the total effective rate of 96.8% (91/94). But hemoptysis occurred again in 3 cases. Two patients developed symptoms such as hypothermia, intercostals pain, etc after surgery. No special treatment was given and the symptoms were naturally relieved. No serious complications such as spinal cord injury or ectopic embolism occurred. Conclusion Bronchial artery embolization is an effective, safe and minimally invasive treatment for patients with pulmonary hemoptysis can not be controlled by medical treatment.