Efficacy and safety of particle embolization in bronchial arteries of hemoptysis patients with shunts.

Autor: Guzelbey T; Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, 34480, Turkey. Electronic address: drguzelbey@gmail.com., Arslan MF; Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, 34480, Turkey. Electronic address: mustafafatiharslan@hotmail.com., Cingoz M; Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, 34480, Turkey. Electronic address: cingozmehmett@hotmail.com., Erdim C; Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, 34480, Turkey. Electronic address: cagrierdim23@gmail.com., Altun O; Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, 34480, Turkey. Electronic address: omeraltun1996@gmail.com., Mutlu IN; Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, 34480, Turkey. Electronic address: ilhannahit@gmail.com., Kilickesmez O; Department of Interventional Radiology, Basaksehir Cam and Sakura City Hospital, Istanbul, 34480, Turkey. Electronic address: okilickesmez@yahoo.com.
Jazyk: angličtina
Zdroj: Clinical radiology [Clin Radiol] 2024 Sep; Vol. 79 (9), pp. 704-710. Date of Electronic Publication: 2024 Jun 08.
DOI: 10.1016/j.crad.2024.06.003
Abstrakt: Aim: This study assesses the safety and efficacy of particle embolization during bronchial artery embolization (BAE) in patients with shunts between bronchial and non-bronchial systemic arteries and the pulmonary artery.
Methods: In this retrospective, single-center study, we analyzed 312 BAE procedures performed from June 2020 to April 2023. The patient cohort had shunts between bronchial and non-bronchial systemic arteries and the pulmonary artery. We meticulously collected and examined comprehensive data, including clinical characteristics, computed tomography (CT) imaging, and embolization procedural details.
Results: Vascular shunts were identified in 49 patients. The etiologies of hemoptysis included post-TB sequelae (42.8%), bronchiectasis (26.5%), active TB (12.2%), aspergilloma (8.1%), bacterial pneumonia (4.1%), lung cancer (4.1%), and non-tuberculous mycobacterial infection (2%). The technical success rate of the procedures was 98%, with 149 out of 152 identified vessels successfully embolized. All patients experienced cessation or significant reduction of hemoptysis within 24 hours following the procedure. The clinical success rates were 97.9% at one month, 93.9% at six months, and 89.8% at one year. No shunt-related complications were detected.
Conclusion: BAE with particle embolization is a safe and effective treatment for hemoptysis, particularly in cases with complex shunts between bronchial and non-bronchial systemic arteries and the pulmonary artery.
(Copyright © 2024 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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