Abstract
Purpose
The purpose of this study was to determine the factors influencing the effect of bronchial artery embolization in treating massive hemoptysis and the value of bronchial arteriography in the evaluation of patients with hemoptysis.
Methods
Thirty-five patients with acute hemoptysis were evaluated by means of bronchial arteriography and treated with transcatheter embolization. Specific causes for bleeding were bronchiectasis (17), lung cancer (9), tuberculosis (4), tetralogy of Fallot (1), and idiopathic hemoptysis (4). The materials used for embolization were gelatin sponge in 33 patients, dextran microspheres in 2, and stainless coils in 1.
Results
The angiographic signs of hemorrhage encountered were extravasation of contrast media (14.2%), hypervascularization (94.5%), bronchopulmonary shunts (34.2%), and bronchial artery aneurysms (14.2%). Immediate control of bleeding occurred in 32 (91.4%) of 35 patients after embolization. The rate of recurrent hemoptysis was 20.0% after 2 weeks of the procedure, but the hemorrhage was less severe than before treatment.
Conclusion
The data suggest that bronchial artery embolization is an effective method for managing patients with hemoptysis. Minor bleeding recurrences appear to be relatively frequent.
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References
Remy J, Voisin C, Dupuis C, Beguery P, Tonnel AB, Denies JL, Douay B (1974) Traitement des hemoptysis par embolization de la circulation systemoque. Ann Radiol 17:5–16
Wholey MH, Chamorro HA, Rao G, Ford W, Miller WH (1976) Bronchial artery embolization for massive hemoptysis. JAMA 236:2501–2504
Uflacker R, Kaemmerer A, Neves C, Picon PD (1983) Management of massive hemoptysis by bronchial artery embolization. Radiology 146:627–634
Rabkin JE, Astafjev VI, Gothman LN, Grigorjen YG (1987) Transcatheter embolization in the management of pulmonary hemorrhage. Radiology 163:361–365
Cohen AM, Doershuk CF, Stern RC (1990) Bronchial artery embolization to control hemoptysis in cystic fibrosis. 175:401–405
Hayakawa K, Tanaka F, Torizuka T, Mitsumori M, Okuno Y, Matsui A, Satoh Y, Fujiwara K, Misaki T (1992) Bronchial artery embolization for hemoptysis: Immediate and long-term results. Cardiovasc Intervent Radiol 15:154–159
He LX, Li XR, Li HD, Gu ZM, Xu CD, Hong YZ (1987) Selective bronchial arteriography and embolization in the diagnosis and treatment of massive hemoptysis. Natl Med J China 67:590–592
Zhang JS (1991) Transcatheter therapeutic embolization and vasopressive infusion in the management of acute hemorrhage. Med Imaging 4:26–29
Saumench J, Escarrabill J, Padro L, Montana J, Clariana A, Canto A (1990) Value of fiberoptic bronchoscopy and angiogaphy for diagnosis of the bleeding site in hemoptysis. Radiology 174:899 (Abs)
Castaneda-Zuniga WR, Tadavarthy SM (1992) Interventional radiology, vol. 1, 2nd ed. Williams & Wilkins, Baltimore, pp. 38–40
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Zhang, Js., Cui, Zp., Wang, Mq. et al. Bronchial arteriography and transcatheter embolization in the management of hemoptysis. Cardiovasc Intervent Radiol 17, 276–279 (1994). https://doi.org/10.1007/BF00192451
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DOI: https://doi.org/10.1007/BF00192451