Bronchial artery embolization: first-line option for managing massive hemoptysis

Asian Cardiovascular & Thoracic Annals
Yutaka MiyanoTakamasa Onuki

Abstract

Background Today, treatment for hemoptysis is not limited to surgery, and among the various options, bronchial artery embolization is regarded as an effective approach. Methods In this retrospective study, 179 of 389 patients with massive hemoptysis were treated with bronchial artery embolization, without taking into account the underlying pathological lesions responsible (bronchiectasis in 41, aspergilloma in 29, lung cancer in 25, old tuberculosis in 23, pyothorax in 19, others in 23). Results Bronchial artery embolization failed in 12 cases. In the 167 successful cases, surgery was required in 16 and bronchial occlusion was performed in 4; 3 patients died due to recurrent massive hemoptysis. After bronchial artery embolization, thoracic surgery for reasons other than hemostasis was carried out in 15 patients. Bronchial artery embolization was performed in 31 patients with hemoptysis who had a history of chest surgery. Four patients underwent bronchial occlusion, and immediate hemostasis was achieved in all of them. Conclusions For treatment of hemoptysis, bronchial artery embolization is a safe and minimally invasive technique that can be performed repeatedly, and provides not only short-term but also prolonged effectiveness...Continue Reading

References

Nov 1, 1987·The American Journal of the Medical Sciences·R Corey, K M Hla
Nov 15, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Woong YoonHeoung Keun Kang
Feb 24, 2009·The Annals of Thoracic Surgery·Norihisa ShigemuraAnthony P C Yim
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Jul 24, 2014·Asian Cardiovascular & Thoracic Annals·Oren FruchterMordechai R Kramer
Apr 14, 2016·Asian Cardiovascular & Thoracic Annals·Yutaka MiyanoTakamasa Onuki

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