Retrospectively analysis of the vagus nerve reflex in bronchial artery embolization
10.3969/j.issn.1002-1671.2016.03.027
- VernacularTitle:支气管动脉栓塞术围手术期迷走神经反射的回顾性临床分析
- Author:
Zhigang FU
;
Chengxin YU
;
Xiaolin ZHANG
;
Haitao LI
;
Qiang HAN
;
Xiaohu QI
;
Wenjiang ZHAO
- Publication Type:Journal Article
- Keywords:
bronchial artery embolization;
vagus nerve reflex;
massive hemoptysis
- From:
Journal of Practical Radiology
2016;32(3):429-431
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the cause and the treatment of the vagus nerve reflex in patients with hemoptysis during bron-chial artery embolization (BAE).Methods 1 12 patients with much hemoptysis were enrolled,9 of whom represented vagus nerve reflex in the process of interventional embolization.Results In 9 patients with mixed vagal reflex,5 occurred in the process of bron-chial artery embolization,1 in removing of sheath,1 in hemostasis by compression and 2 in returning to the ward.The intraoperative vagus reflex during BAE was related to over tension and unnormolized operation,and it improved by block of vagus nerve,raising blood pressure and fluid expansion without serious complications.Conclusion Vagus nerve reflex during BAE should be noticed, and early detection and timely intervention may improve its prognosis.