The long-term effect of embolization of bronchial artery in patients with massive hemoptysis
10.3760/cma.j.issn.1005-1201.2010.02.018
- VernacularTitle:支气管动脉栓塞治疗大咯血的远期疗效分析
- Author:
Guohui XU
;
Zhengwen LI
;
Ge WU
;
Qingrong ZHAO
;
Hui WU
;
Xi LI
;
Huachang WEN
;
Wei AO
;
Ping JIAN
;
Yongjun WEN
;
Rong CAO
- Publication Type:Journal Article
- Keywords:
Hemoptysis;
Bronchial arteries;
Embolization,therapeutic
- From:
Chinese Journal of Radiology
2010;44(2):181-184
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the long-term effect of bronchial artery, embolization (BAE) in patients with massive hemoptysis and the factors associated with prognosis. Methods Ninety six patients underwent BAE from 2002 to 2008 for the management of mass hemoptysis were retrospectively analyzed. Of them, BAE was successfully performed in 94 patients (mean age 43 years, age range 21 to 80 years), including active or inactive tuberculosis (89 cases), bronchiectasis (2 cases) and pulmonary carcinoma (5 cases). Results BAE resulted in an immediate cessation of hemoptysis in 94 of the initial 96 patients (97.9%). The rate of hemoptysis controlling at 30 d, 90 d, 1 year and 2 year after the BAE was 93.6% (88/94), 86. 2% (81/94), 81.9% (77/94) and 78.7% (74/94) respectively. Haemoptysis recurred in 9 patients in 30 days after the BAE due to missing of target vessel or recanalization. Five patients had recurrence of haemoptysis after 30 days and 2 patients recurrent after 90 days due to development of systemic collateral, progress in primary lesions and secondary infection. Conclusion BAE is an effective technique in the emergency treatment of massive hemoptysis. Avoiding missing target vessel, selecting the appropriate embolic material, paying attention to treatment of the primary disease after BAE, and preventing infection would improve the effects of BAE for massive hemoptysis.
