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Bronchial artery embolization with detachable coils for the treatment of haemoptysis. Preliminary experience

Embolizzazione delle arterie bronchiali con spirali a distacco controllato per il trattamento dell’emottisi. Esperienza preliminare

  • Vascular and Interventional Radiology, Radiologia vascolare e interventistica
  • Published:
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Abstract

Purpose. This paper reports our early experience in the treatment of haemoptysis with embolization of the bronchial arteries using detachable coils

Materials and methods. Ten patients (mean age 45 years, range 23-83) with haemoptysis due to bronchoscopic biopsy of indeterminate lung nodules, lung cancer, tubercular bronchiectasis, cystic bronchiectasis or sarcoidosis underwent embolization of the bronchial arteries responsible for the bleeding using detachable coils. Patients were followed-up for a median of 14 months

Results. In all patients the procedure halted the bronchial bleeding within 24 hours. Eight patients had no recurrence of haemoptysis. In one patient with lung cancer and another with sarcoidosis haemoptysis recurred within 1–3 months due to recruitment of additional feeding arteries and to a missed large feeding artery originating from the subclavian artery, which required a new procedure

Conclusions. Use of detachable coils for embolization of bronchial arteries in patients with haemoptysis is advantageous since it eliminates the risk of migration typical of other embolic materials and enables rapid and permanent vessel occlusion

Riassunto

Obiettivo. descrivere l’esperienza preliminare nel trattamento dell’emottisi mediante embolizzazione delle arterie bronchiali con spirali a distacco controllato

Materiali e metodi. Dieci pazienti (età media 45 anni, range 23-84) con emottisi causata da biopsia broncoscopia di noduli polmonari indeterminati, neoplasia polmonare, bronchiectasie tubercolari, bronchiectasie cistiche e sarcoidosi sono stati trattati con embolizzazione delle arterie responsabili del sanguinamento bronchiale utilizzando spirali a distacco controllato e seguiti con un follow-up medio di 14 mesi

Risultati. In tutti i pazienti la procedura ha arrestato il sanguinamento bronchiale entro 24 ore. Otto pazienti non hanno avuto recidiva di emottisi. Un paziente con neoplasia polmonare ed un altro con sarcoidosi hanno presentato nuovi episodi di sanguinamento bronchiale che hanno richiesto una seconda procedura in un intervallo di tempo compreso tra 1 e 3 mesi, dovuti al reclutamento di nuovi apporti arteriosi e alla mancata embolizzazione di un apporto arterioso originante dall’arteria succlavia

Conclusioni. L’impiego di spirali a distacco controllato per l’embolizzazione delle arterie bronchiali in pazienti con emottisi è vantaggioso in quanto elimina il rischio di migrazione proprio di altri materiali embolizzanti e permette una occlusione vascolare rapida e permanente

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Authors and Affiliations

  1. Radiodiagnostic Section, Department of Clinical Physiopathology, University of Florence, Viale Morgagni 85, 50134, Florence, Italy

    M. Nistri, A. Pratesi, N. Villari & M. Mascalchi

  2. Radiodiagnostic Unit, Careggi Hospital, Florence, Italy

    M. Acquafresca & I. Menchi

Authors
  1. M. Nistri
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  2. M. Acquafresca
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  3. A. Pratesi
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  4. I. Menchi
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  5. N. Villari
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  6. M. Mascalchi
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Correspondence to M. Mascalchi.

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Nistri, M., Acquafresca, M., Pratesi, A. et al. Bronchial artery embolization with detachable coils for the treatment of haemoptysis. Preliminary experience. Radiol med 113, 452–460 (2008). https://doi.org/10.1007/s11547-008-0253-x

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  • DOI: https://doi.org/10.1007/s11547-008-0253-x

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