DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150684

Immediate and long-term results of bronchial artery embolisation for life-threatening hemoptysis in bronchiectasis

Rajani M., Asharaf S. M., Achuthan V., Manoj D.K.

Abstract


Background: Bronchial artery embolization (BAE) has been established as an effective technique in the emergency treatment of life-threatening hemoptysis, but few data concerning long-term results of the procedure are available The aim of this study was to analyze the immediate and long-term results of bronchial artery embolization (BAE) for hemoptysis due to bronchiectasis.

Methods: Twenty five patients (aged 28–76 years) who underwent bronchial artery embolization with polyvinyl alcohol particles, gelatin sponge and coil for massive or continuing moderate hemoptysis caused by bronchiectasis were included in the study. These patients were followed up for 3 years. Initially patients were followed up monthly for 6months by clinical examination. Then yearly follow up by clinical and radiological examination. Results analyzed using SPSS 16 version.

Results: In our study16 patients (64%) were males. 11 patients (44%) had bilateral bronchiectasis.14 patients (56%) had no rebleeding in the three year follow-up period. Only 8% developed rebleeding within 24hrs.Only one patient (4%) developed massive hemoptysis within one month and died. Other rebleed were very minimal. In our study there was no significant relation with side of bronchiectasis and rebleed.

Conclusions: Bronchial artery embolisation can yield immediate and long-term benefit in patients with hemoptysis due to bronchiectasis.

 


Keywords


Hemoptysis, Bronchiectasis, Bronchial artery, Embolization

Full Text:

PDF

References


Remy J, Remy-Jardin M, Voisin C. Endovascular management of bronchial bleeding in the Bronchial Circulation, J. Butler, Ed, Dekker, New York, NY, USA. 1992: 667-723.

Wholey MH, Chamorro HA, Rao G, et al. Bronchial artery embolization for massive hemoptysis. JAMA. 1976;236:2501-04.

Tonkin ILD, Hanissian AS, Boulden TF, et al. Bronchial arteriography and embolotherapy for hemoptysis in patients with cystic fibrosis. Cardiovasc Intervent Radiol. 1991;14:241-6.

Interventional Radiology on Embolization Guest Mauro MA, Ray C. Bronchial Artery Embolization. Burke CT, Mauro MA. Emin Intervent Radiol. 2004;21(1):43–8.

Shenderson KJ, White RJ. Embolotherapy in the bronchial and pulmonary circulations. Radiol Clin North Am. 2000;38:425.

Yoon W, Kim JK, Kim YH, et al. Bronchial and nonbronchial systemic artery embolisation for life threatening hemoptysis: a comprehensive review. Radiographics. 2002;22:1395.

Valji K. Pulmonary and bronchial arteries: Vascular and interventional radiology. 2006;12:345-73.

Viamonte M. Selective bronchial arteriography in man. Radiology. 1964;83:830-9.

Wholey MH, Chamorro HA, Rao G. Bronchial artery embolization for massive hemoptysis. Journal of the American Medical Association. 1976;236(22):2501-4.

Remy J, Arnaud A, Fardou H. Treatment of hemoptysis by embolization of bronchial arteries. Radiology. 1977;122(1):33-8.

Singhal S, Banode P. Bronchial Artery Embolization in Patients Presenting with Massive Hemoptysis: Initial Experience from a Rural Tertiary Centre of Central India.

Saumench J, Excarrabill J, Padro L, et al. Value of fiberoptic bronchoscopy and angiography for diagnosis of the bleeding site in hemoptysis. Ann Thorac Surg. 1989;48:272-4.

Cremaschi P, Nascimbene C, Vitulo P, et al. Therapeutic embolization of bronchial artery: a successful treatment in 209 cases of relapse hemoptysis. Angiology. 1993;44(4):295-9.

Rabkin JE, Astafjev YI, Gothman LN, Grigorjev YG. Transcatheter embolization in the management of pulmonary hemorrhage. 1987;163(2):361-5.

Kato A, Kudo S, Matsumoto K, Fukahori T, Shimizu T, Uchino A, Hayashi S. Bronchial Artery Embolization for Hemoptysis Due to Benign Diseases: Immediate and Long-Term Results. Cardiovasc Intervent Radiol. 2000;23:351-7.

Astafjev V, Gothman LN, et al. Transcatheter embolization in the management of pulmonary hemorrhage. Radiology. 1987;163:361-5.

Guo JX. Arteriography and bronchial artery embolization for massive hemoptysis in 100 cases of tuberculous. 1992;15:77-8.

Goh PYT, Lin M, Teo N, et al. Embolization for hemoptysis: a six-year review. Cardiovasc Intervent Radiol. 2002;25:17-25.