Bronchial artery embolization to control haemoptysis. 1994

K P Wong, and N Young, and G Marksen
Department of Radiology, Westmead Hospital, NSW, Australia.

This is a retrospective study of 15 patients who had bronchial artery angiography and embolization for life-threatening haemoptysis in the period January 1986 to March 1993. Eight were male and seven were female, in the age range 32-77 years. Massive haemoptysis has a 50-100% mortality if treated conservatively and surgery has an up to 35% mortality in this high-risk group. Nine patients had advanced tumours. Seven had technically successful procedures, with haemoptysis being controlled in six and one patient dying from post-procedural massive haemoptysis. One of the patients with failed embolization died from massive haemoptysis and the other had spontaneous settling of bleeding. The other six patients suffered from bronchiectasis (2), aspergilloma involving tuberculous cavity (2), active tuberculosis (1), and abscess cavity presumably due to vasculitis (1). Technically successful embolizations were achieved in all six; three had control of haemoptysis, one required successful re-embolization after massive bleeding following initial embolization, one suffered continuing non-massive bleeding and one died soon afterwards from massive haemoptysis.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D001981 Bronchial Arteries Left bronchial arteries arise from the thoracic aorta, the right from the first aortic intercostal or the upper left bronchial artery; they supply the bronchi and the lower trachea. Arteries, Bronchial,Artery, Bronchial,Bronchial Artery
D004621 Embolization, Therapeutic A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage. Embolotherapy,Therapeutic Embolization,Embolizations, Therapeutic,Embolotherapies,Therapeutic Embolizations
D005260 Female Females
D006469 Hemoptysis Expectoration or spitting of blood originating from any part of the RESPIRATORY TRACT, usually from hemorrhage in the lung parenchyma (PULMONARY ALVEOLI) and the BRONCHIAL ARTERIES. Hemoptyses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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