Analysis of pediatric hemoptysis recurrence related to vascular malformations after transcatheter occlusion
10.3760/cma.j.issn.1673-4912.2018.04.013
- VernacularTitle:儿童血管相关性咯血介入治疗后复发因素的分析
- Author:
Hongyu KUANG
1
,
2
;
Ping XIANG
;
Mi LI
;
Chuan FENG
;
Yonghong BAI
;
Qijian YI
;
Jie TIAN
;
Tiewei LYU
Author Information
1. 400014 重庆医科大学附属儿童医院心血管内科,儿童发育疾病研究教育部重点实验室
2. 400014 重庆,儿童发育重大疾病国家国际科技 合作基地儿科学重庆市重点实验室
- Keywords:
Hemoptysis;
Blood vessels;
Transcatheter occlusion;
Recurrence;
Children
- From:
Chinese Pediatric Emergency Medicine
2018;25(4):288-292
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate pediatric hemoptysis recurrence related to vascular malforma-tions after transcatheter occlusion and offer suitable preventive actions for reducing the rate of hemoptysis recurrence.Methods The clinical data of 27 children,collected form Department of Cardiology,Children's Hospital of Chongqing Medical University between June 2012 and April 2017,with hemoptysis related to vascular malformations were retrospectively analyzed.The clinical manifestation,image feature and occlusion program of children with hemoptysis recurrence were re-analyzed and evaluated. Results All 27 children with hemoptysis received transcatheter occlusion, whose vascular malformations included bronchial-pulmonary artery fistula (24 cases,88.9%) and pulmonary arteriovenous fistulas (3 cases,11.1%) by angiography. Six cases,approximately 26.1%,suffered from recurrent hemoptysis after therapy,and the interval time of hemoptysis recurrence was roughly (5.6 ± 2.3)months.It indicated mycoplasma pneumonia infection in all children with hemoptysis recurrence, and re-angiography showed that more abnormal vessels were found, other minor vessels except for vessels occluded grew thick and large,vessels except for vessels occluded were recanalization in children with recurrent hemoptysis.Conclusion Recurrence is the common complication of hemoptysis related to vascular malformations in children,and bronchial-pulmonary artery fistula is the most common type with hemoptysis recurrence. The main causes of hemoptysis recurrence include mycoplasma pneumonia infection,vessels without occlusion enlargement and recanalization.
