Our Single Center Experience in Treating Patients with Massive Hemoptysis
| Autor: | Gokhan Yuce, Serhan Eren |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Ankara Medical Journal, Vol 20, Iss 3, Pp 707-718 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2148-4570 75512386 |
| DOI: | 10.5505/amj.2020.98624 |
| Popis: | INTRODUCTION: Hemoptysis is a life-threatening condition and requires immediate diagnosis and treatment. Herein this study, our aim was demonstrate our single center experience of super selective arterial embolization in cases of massive hemoptysis, to describe the demographic and clinical data of those patients, to evaluate the success rate of the intervention and to document the complications. METHODS: In this study, total of 72 patients who admitted to our tertiary center's emergency service or chest diseases department and underwent endovascular treatment were enrolled. The demographic and clinical data were analyzed retrospectively. RESULTS: The median age was 55 years (min-max; 22-78). 25 patients (34.70%) were female whereas 47 (65.30%) were male. 16 patients was diagnosed with lung cancer (squamous cell / adeno cancer), 7 alveolar hemorrhage, 1 pulmonary metastasis of malign melanoma, 2 mediastinal and hilar mass of unknown origin, 4 tuberculosis, 4 pulmonary thromboembolism, 1 sarcoidosis, 2 pneumonia, 1 cirrhosis and hepatopulmonary syndrome and 34 patients with bronchiectasis. The embolized vessel was right bronchial in 32 cases, left bronchial in 9, bilateral in 15, costobronchial trunk in 10 and non-bronchial in 6 patients. The most common angiographic pattern was vascular hypertrophy followed by vascular irregularity and blush. The immediate clinical success was 100%. Rebleeding occurred in 12 patients due to recanalization of the vessel. The most common complication was chest pain. DISCUSSION AND CONCLUSION: In experienced hands, arterial embolization is the most effective and minimally invasive procedure for treating massive and recurrent hemoptysis.This study confirms the efficacy and safety of the intervention |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|