Angiographic manifestation and transcatheter arterial embolization of proper esophageal artery in hemoptysis
- VernacularTitle:咯血患者的食管固有动脉造影表现和栓塞治疗
- Author:
Sen JIANG
;
Xiaohua ZHU
;
Xiwen SUN
;
Wenxiang ZHI
;
Bing JIE
;
Zhengqian YOU
;
Dong YU
;
Gang PENG
- Publication Type:Journal Article
- Keywords:
Arteries;
Esophagus;
Hemoptysis;
Radiology,interventional;
Embolization,therapeutic
- From:
Chinese Journal of Radiology
2008;42(6):641-644
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the angiographic manifestation of the proper esophageal artery (PEA),the hish risk factom for the presence of the anomalous PEA in hemoptysis and to evaluate the safety of transcatheter aaefial embolization(TAE) of the PEA using gelatin sponge(GS).Methods Selective esophageal arteriography WSS performed in forty-three patients with hemoptysis,including 15 cases of pulmonary tuberculosis,18 cases of bmnchiectasis,7 cases of posttuberculous bronchiectasis and three cases of lung cancer. One case experienced failure of bronchial arterial embolization. The angiographic manifestation of the PEAs Was studied.The complications of the procedure and clinical results were observed in the patients who underwent TAE using GS.Results Thirty-nine PEAs were catheterized selectively in 37 patients(86.0%).Eighteen anomalous PEAs(46.2%)were catheterized selectively in 17 patients (45.9%).The anomalous PEAs showed tortuosity,dilatation,hyperplasia,shunting with pulmonary artery and anastomosis with the bronchial artery.All lesions involved basal segment of inferior pulmonary lobar. Bronchiectasis Was the most frequent disease for PEA abnormality. No complications occurred and satisfactory curative effect Was achieved with TAE of the anomalous PEAs.Conclusions It is necessary to perform selective proper esophageal arteriography when the lesion involves basal segment of inferior pulmonary lobar in hemoptysis.Supplemental TAE of the anomalous PEA using GS is safe and valuable in the management of hemoptysis.
