The Effectiveness of Bronchial Artery Embolisation in Patients with Haemoptysis
| Autor: | Szczepan Cofta, Agata Nowicka, Hanna Winiarska, Daria Springer, Joanna Goździk-Spychalska, Robert Juszkat, Halina Batura-Gabryel, Bartosz Żabicki |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Hemoptysis medicine.medical_specialty Tuberculosis Observation period Bronchial Arteries Severity of Illness Index Young Adult 03 medical and health sciences 0302 clinical medicine embolisation haemoptysis cystic fibrosis lung disease Recurrence medicine.artery Humans Medicine In patient 030212 general & internal medicine Aged Retrospective Studies business.industry Mean age Middle Aged medicine.disease Embolization Therapeutic Medical documents Surgery Respiratory Medicine Treatment Outcome 030228 respiratory system Lung disease Female business Bronchial artery |
| Zdroj: | Advances in Respiratory Medicine; Volume 86; Issue 5; Pages: 220-226 |
| ISSN: | 2543-6031 |
| DOI: | 10.5603/arm.2018.0035 |
| Popis: | Introduction: Bronchial artery embolisation (BAE) is one of the methods used in massive and recurring haemoptysis. The aim of the study is to determine the effectiveness and complications of bronchial artery embolisation in recurring haemoptysis. Material and methods: The analysis included 47 embolisation procedures performed on 30 patients treated between 2011 and 2017 in the Department of Respiratory Medicine, Allergology and Pulmonary Oncology due to haemoptysis. The patient’s age ranged between 18 and 71 years, while mean age at the time of BAE was 33.5 years. Patients with tuberculosis constituted 73.33% (n = 22) of the sample and underwent 31 embolisation procedures in total. The remaining part of the sample (n = 8) collectively underwent 16 BAEs. The analysis was conducted by verifying the medical documentation, as well as carrying face-to-face and phone conversations. Results: Immediate control due to the inhibition of bleeding was obtained in 95.75% of cases. Recurrence within 3 days of BAE was reported in 5 patients (10.63%), and 4 re-embolisation procedures were conducted. In 10 patients (33.33%), recurrence was observed during the first year post-BAE, while it was reported in 17 cases during the whole observation period (56.66% of patients). The subjects who underwent re-embolisation demonstrated recurrence-free periods lasting from 2 days to 63 months. In patients with recurrence but no re-embolisation, the shortest and longest haemoptysis-free time was 2 and 35 months, respectively. 11 patients (36.66%) required several embolisation procedures during the whole observation period. Conclusions: BAE is a highly successful procedure in treating haemoptysis. The risk of complications is low. |
| Databáze: | OpenAIRE |
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