Observation on the Efficacy of Interventional Embolism in the Treatment of Non-bronchial Hemoptysis
10.3969/j.issn.1009-6604.2025.10.009
- VernacularTitle:介入栓塞治疗非支气管动脉系统来源咯血的疗效观察
- Author:
Shujuan ZUO
1
;
Hao LIANG
;
Pengchao ZHAN
;
Ming ZHENG
;
Meng SHEN
;
Zhaojun LI
;
Qingliang CHEN
Author Information
1. 河南中医药大学第一附属医院血液肿瘤科,郑州 450000
- Publication Type:Journal Article
- Keywords:
Hemoptysis;
Lung-body circulation;
Non-bronchial artery;
Interventional embolism
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(10):623-627
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and safety of interventional embolism in the treatment of hemoptysis from non-bronchial arterial system.Methods We retrospectively analyzed clinical data of 23 cases of non-bronchial artery system derived hemoptysis from February 2017 to November 2024.The hemorrhagic blood vessels were only the non-bronchial artery system in 6 cases,and from the non-bronchial artery system and bronchial arteries in 17 cases.Sources of non-bronchial artery systems included 14 intercostal arteries,5 thyrocervical trunk,5 subscapular arteries,4 internal thoracic arteries,3 external thoracic arteries,5 diaphragmatic arteries,1 renal artery,and 1 left gastric artery.All the patients were treated with interventional embolism.Recurrence rate was followed up and postoperative complications were recorded.Results The immediate hemostasis rate after surgery was 95.7%(22/23).In one case,hemoptysis was relapsed within 24 h after the operation due to omission of diaphragmatic artery,and hemoptysis did not recurred after the secondary embolization.After surgery,there was 1 case of abdominal discomfort,2 cases of fever,and 2 cases of chest pain.The symptoms disappeared after conservative treatment.After the operation,the follow-up was 4-36 months(median,30 months).A total of 20 patients did not re-develop hemoptysis,while 3 had relapsed hemoptysis at 4 months,4 months,and 36 months after operation,respectively,with a recurrence rate of 13.0%(3/23).No serious complications occurred.Conclusion Interventional embolism is effective in the treatment of non-bronchial hemoptysis,which is safe and feasible.
