BRONCHIAL ARTERY EMBOLIZATION FOR HEMOPTYSIS : EXPERIENCEIN SRINAGARIND HOSPITAL, KHON KAEN UNIVERSITY

Authors

  • Vallop LAOPAIBOON Department of Radiology, Faculty of Medicine, Khon Kaen University
  • Warinthorn PHUTTHARAK Department of Radiology, Faculty of Medicine, Khon Kaen University,
  • Chalida APHINIVEJ Department of Radiology, Faculty of Medicine, Khon Kaen University
  • Jitjaroen CHATYACHUM Department of Radiology, Faculty of Medicine, Khon Kaen University

Abstract

Purpose: The purpose of this retrospective study was to report our experience with bronchial angiography and bronchial embolization.

Materials and Methods: A retrospectively reviewed medical record and imagings of 32 patients presented with moderated to severe hemoptysis who underwent to bronchial angiography and embolization at Srinagarind hospital Khon Kaen University from 1999 to 2002.

Results: The majority of the etiologies of hemoptysis in our series were tuberculous bronchiectasis (14 patients), pulmonary tuberculosis (9 patients) and nontuberculous bronchiectasis (6 patients). The findings of angiography included hypervascularity in 100% (32 of 32), bronchial artery hypertrophy and tortuousity in 59.3% (19 of 32), parenchymatous staining in 75.0% (24 of 32), pseudoaneurysm formation in 9.3% (3 of 32), bronchial to pulmonary artery communication in 6.2% (2 of 32) and extravasation of contrast medium into bronchial lumen in 3.3% (1 of 32). We achieved an overall success rate of 87.5% (28 of 32), in immediately control of hemoptysis and technical success rate of 98.87% (31 of 32). Recurrent rate of hemoptysis was 9.4% (3 of 32) within 1 month and 9.4% (3 of 32) in more than 1 month.

The complications of bronchial embolization in our series included subintimal dissection in one patient and chest pain during the embolization procedure in two patients.

Conclusion: Bronchial embolization is an effective and safe procedure to control hemoptysis, particularly in emergency control of hemoptysis which caused by benign diseases. Bronchial embolization may help to avoid surgery in patients who are not good surgical candidates.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Marshall TJ, Jackson JE. Vascular intervention in the thorax: bronchial artery embolization for hemoptysis. Eur Radiol 1997; 7:1221-27.

Mauro MA, Jagues PF. Transcatheter bronchial artery embolization for inflammation (hemoptysis). In: Baum S, Pentecost MJ (eds) Abrams’ angiography: interventional radiology, 4 edn. Little. Brown and Company. Boston, 1997; 819- 28.

Goh PYT, Lin M, Teo N, Wong DES. Embolization for hemoptysis: a six-year review. Cardiovasc Intervent Radiol 2000; 25: 17-26.

Viamonte M_ Jr. Selective bronchial arteriography in man. Preliminary report. Radiology 1964; 83:830-39.

Viamonte M Jr, Parks RE, Smoak WM. Guided catheterization of the bronchial arteries. Part 1. Technical considerations. Radiology 1965;85:205.

Remy J, Arnand, Fardon H, et al. Treatment of hemoptysis by embolization of bronchial arteries. Radiology 1977; 122:33-37.

Swenson KL, Johnson CM, Prakash UBS, et al. Bronchial artery embolization: experience with 54 patients. Chest 2002; 121:789-801.

Uflacker B, Kaemmerer VG, Gandhi MS, et al. Bronchial artery embolization in the management of hemoptysis: technical aspect and long term results. Radiology 1985; 157:637-44.

Sanyika C, Corr P, Royston, et al. Pulmonary angiography and embolization for severe hemoptysis due to cavitary pulmonary tuberculosis. Cardiovasc Intervent Radiol 1999; 22: 457-60.

Mal H, Rullon I, Mellot F, et al. Immediate and long-term results of bronchial artery embolization for left-threatening hempotysis. Chest 1999;114: 996-1001.

Kato A, Kudo S, Matsumoto K, et al. Bronchial artery embolization for hemoptysis due to benign disease: immediate and long-term results. Cardiovasc Intervent Radiol 1999; 25: 351-57.

White RI. Bronchial artery embolization for control acute hemoptysis. Chest 1999; 115:917-15.

Wong ML, Szkup P, Hopley MJ. Percutaneous embolotherapy for life-threatening hemoptysis.Chest 2002; 121:95-102.

Brinson GR, Noone PG, Mauro MA, et al. Bronchial artery embolization for the threatment of hemoptysis in patients with cystic fibrosis. Am. J. Respir. Crit Care Med. 1998; 157: 1951-58.

Antonelli M, Medulla F, Tancredi G, et al. Bronchial artery embolization for the management of nonmassive hemoptysis in cystic fibrosis. Chest 2002; 121:796-801.

Hayawa K, Tanaka F, Torizyka T, et al. Bronchial artery embolization for hemoptysis: immediate: immediate and long-term results. Cardiovasc Intervent Radiol 1992; 15: 154-59.

Rabkin JE, Astafjev VI, Gothman LN, et al. Transcatheter embolization in management of pulmonary hemorrhage. Radiology 1987: 163;361-365.

Ramakantan R, Bandekar VG,Gandhi MS, et al. Massive hemoptysis due to pulmonary tuberculosis: control with bronchial artery embolization. Radiology 1996; 200: 691-94.

Sancho C, Escalante E, Dominguez J, et al. Embolization of bronchial arteries of anomalous origin. Cardiovasc Intervent Radiol 1998; 21:300-04.

Downloads

Published

2023-04-16

How to Cite

1.
LAOPAIBOON V, PHUTTHARAK W, APHINIVEJ C, CHATYACHUM J. BRONCHIAL ARTERY EMBOLIZATION FOR HEMOPTYSIS : EXPERIENCEIN SRINAGARIND HOSPITAL, KHON KAEN UNIVERSITY. ASEAN J Radiol [Internet]. 2023 Apr. 16 [cited 2024 Dec. 11];9(1):45-54. Available from: https://www.asean-journal-radiology.org/index.php/ajr/article/view/628

Issue

Section

Original Article

Most read articles by the same author(s)