Title: Efficacy Evaluation of Intra-arterial Embolization Therapy in Massive Hemoptysis
Abstract: Objective To evaluate clinical success rate of intra-arterial embolization therapy for massive hemoptysis and its complications. Methods Fifty-six patients with massive hemoptysis, who were responseless to non-operaive therapy, were treated with intra-arterial embolization. The procedure was performed via a common femoral artery to embolize the bronchial or feeding artery. The embolic agents included gelfoam for most cases and PVA particle and metallic coil for some cases. All the angiograms were carefully scrutinized for fear that spinal arteries were inadvertently embolized. Most of the cases were followed up. The effect, recurrence rate and complications were observed. Results Immediate control of hemoptysis was achieved in all the cases (100%). Recurrence of hemoptysis occurred in 2 cases (3.6.%) in 1 month, and 3 cases between 1-2.5 years. Transverse myelitis occurred in 1 case (1.8%). Conclusion Interventional therapy (i.e. intra-arterial embolization) is an effective and safe method. It should be considered as the first choice for patients with massive hemoptysis.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
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