Analysis of therapeutic efficacy of endovascular embolization using Embosphere microsphere in the treatment of massive hemoptysis
10.3969/j.issn.1002-1671.2024.01.025
- VernacularTitle:Embosphere微球血管内栓塞治疗大咯血的疗效分析
- Author:
Hongdou XU
1
;
Liang YANG
;
Shuanglong YAO
;
Shibing HU
Author Information
1. 南京市高淳人民医院介入放射科,江苏 南京 211300
- Keywords:
massive hemoptysis;
risk factors;
Embosphere microsphere
- From:
Journal of Practical Radiology
2024;40(1):107-110
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of Embosphere microsphere in the treatment of massive hemoptysis during bronchial arterial embolization(BAE).To analyze the factors influencing the recurrence by Cox regression model.Methods Ninety patients with massive hemoptysis who underwent BAE using Embosphere microsphere were included.The immediate hemo-stasis rate within 24 hours,clinical success rate and prognostic factors were statistically analyzed.Results The immediate hemosta-sis rate within 24 hours was 94.4%(85/90).The clinical success rate was 56.7%(51/90).Cumulative hemoptysis-free recurrence con-trol rates at 6 months,1 year and 2 years postoperative were 81%,78%and 57%,respectively.Cox regression model analysis showed that the variables associated with recurrence were long-term hemoptysis,lung cancer,tuberculosis and lung destruction.Conclusion Embosphere microsphere are safe and effective embolic particles in the treatment of massive hemoptysis during BAE.Risk factors for hemoptysis recurrence include long-term hemoptysis,lung cancer,tuberculosis and lung destruction.