bronchial artery embolization for massive hemoptysis: a retrospective study
نویسندگان
چکیده
introduction: to assess the efficacy and safety of bronchial artery embolization in the treatment of massive hemoptysis. materials and methods: a retrospective study on 46 patients (26 males and 20 females) who were referred to the razavi hospital from april 2009 to may 2012 with massive hemoptysis and had bronchial artery embolization procedures. general characteristics of the patients including age, gender, etiology, and thorax computed tomograms, findings of bronchial angiographic, results of the embolization, complications related to bronchial artery embolization and clinical outcome during follow-up were reviewed. results: the etiology included previous pulmonary tuberculosis in 20 cases, previous tuberculosis with bronchiectasis in 16 cases, bronchiectasis in 6 cases, and active pulmonary tuberculosis in one case. no identifiable causes could be detected in three patients. moreover, massive hemoptysis was successfully and immediately controlled following the embolization procedure in all patients. one patient developed recurrent hemoptysis during one month following the procedure and was treated by re-embolization. no major procedure–related complication such as bronchial infarction was identified however none of the patientsexperienced neurological complications. conclusion: bronchial artery embolization is a safe and effective means of controlling massive hemoptysis and should be regarded as the first-line treatment for this condition.
منابع مشابه
Bronchial Artery Embolization for Massive Hemoptysis: a Retrospective Study
Introduction: To assess the efficacy and safety of bronchial artery embolization in the treatment of massive hemoptysis. Materials and Methods: A retrospective study on 46 patients (26 males and 20 females) who were referred to the Razavi Hospital from April 2009 to May 2012 with massive hemoptysis and had bronchial artery embolization procedures. General characteristics of the patients inc...
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34 bronchial and 13 intercostal arteries were selectively embolized in 27 patients. The most frequent predisposing factor was either active or residual pulmonary tuberculosis. The procedure was performed with Urografin as the contrast agent, cobra shaped or headhunter catheters, and gelfoam (no. 18) or Ivalon (no. 9) particles. The most common anatomic pattern was a common bonchial artery ...
متن کاملtherapeutic embolization of bronchial artery for massive hemoptysis
34 bronchial and 13 intercostal arteries were selectively embolized in 27 patients. the most frequent predisposing factor was either active or residual pulmonary tuberculosis. the procedure was performed with urografin as the contrast agent, cobra shaped or headhunter catheters, and gelfoam (no. 18) or ivalon (no. 9) particles. the most common anatomic pattern was a common bonchial artery trunk...
متن کاملbronchial artery embolization in life-threatening massive hemoptysis
conclusions in conclusion complementary to the previous studies our results have demonstrated that bronchial artery embolization remains as one of the most efficient procedures in managing massive hemoptysis, with minimal rate of complications. patients and methods all the patients had already been assessed by computerized tomography (ct) to localize and delineate the underlying etiology except...
متن کاملBronchial Artery Embolization for Moderate to Massive Hemoptysis
Massive hemoptysis is a serious condition requiring urgent treatment. Despite advances in surgical and medical management of hemoptysis, it is still a major cause of morbidity and mortality. People have proposed various definitions for massive hemoptysis, the most acceptable being expectoration of 240ml blood in 24 hours [1]. In 90% of cases, significant hemoptysis occurs from bronchial artery ...
متن کاملBronchial Artery Embolization in Life-Threatening Massive Hemoptysis
BACKGROUND Massive hemoptysis is a potentially life threatening respiratory emergency and mandates immediate investigation and intervention. There is no universal consensus regarding the optimal management of these patients, and there are no large series of patients studied. OBJECTIVES Here we reported thirty Iranian patients who were managed with bronchial artery embolization. PATIENTS AND...
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عنوان ژورنال:
journal of cardio-thoracic medicineجلد ۱، شماره ۱، صفحات ۲۶-۲۹
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