Analysis of the causes of recurrent hemoptysis after interventional treatment
10.3969/j.issn.1002-1671.2017.09.028
- VernacularTitle:咯血介入治疗后近期再出血的原因分析
- Author:
Jingxiang HUANG
;
Shunzong LI
;
Zhonglin WU
;
Yi LU
;
Lina ZHANG
;
Liying HAN
- Keywords:
hemoptysis;
artery embolization;
reason analysis
- From:
Journal of Practical Radiology
2017;33(9):1430-1432
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the causes of recurrent hemoptysis one week after interventional treatment.Methods 56 patients with massive hemoptysis were included in this study.All patients underwent emergent interventional therapy, including angiography and embolization therapy of bronchial artery, intercostal artery, internal thoracic artery, external thoracic artery and phrenic artery via femoral artery puncture.Results 6 cases had rebleeding within one week after interventional therapy,including 2 cases with primary lung cancer,1 case with bronchiectasis,1 case with pulmonary tuberculosis,1 case with esophageal cancer after surgery,1 case with esophageal cancer after radiotherapy.Then, these patients once again underwent angiography and embolization therapy of bronchial artery,intercostal artery,internal thoracic artery,external thoracic artery and phrenic artery.Conclusion The use of vasoconstrictive drugs before intervention, diversification of pulmonary feeding artery, wide range of lesions, inappropriate embolic material and poor image quality can lead to recurrent hemoptysis after interventional treatment.
