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Bronchial Artery Embolization for hemoptysis： A Retrospective Observational Study of 344 Patients

Chinese Medical Journal 2015年第1期128卷 58-62页

作者： Hongxia Shao Junping Wu Qi Wu Xin Sun Li Li Zhiheng Xing Hongfen Sun Graduate College of Tianjin Medical University Tianjin 300070 China Division of Pulmonary Medicine Tianjin Haihe Hospital Tianjin 300350 China Tianjin Institute of Respiratory Disease Tianjin 300350 China Radiology Department of Tianjin Haihe Hospital Tianjin 300350 China

Background：hemoptysis is a significant clinical entity with high morbidity and potential *** medical management （in terms of resuscitation and bronchoscopic interventions） and surgery have severe limitations in these patients *** artery embolization （BAE） represents the first-line treatment for *** article discusses clinical analysis,embolization approach,outcomes and complications of BAE for the treatment of hemoptysis.Methods：A retrospective analysis of 344 cases,who underwent bronchial arteriography at Tianjin Haihe Hospital between 2006 and *** aspects of outcome were analyzed：Demographics,clinical presentation,radiographic studies,results,complications and follow-up of BAE.Results：Three hundred and forty-four consecutive patients underwent bronchial arteriography,336 of 344 patients （97.7%） performed BAE; there were 1530 coils for 920 arteries embolized; the main responsible sources for bleeding were right bronchial artery （29.7%）,left bronchial artery （21.6%）,combined right and left bronchial trunk （18.4%）,right intercostal arteries （13.3%）; 61 patients （17.7%） had recurrent hemoptysis within 1 month after undergoing BAE,74 patients （21.5%） had recurrent hemoptysis over 1 month after undergoing BAE; The common complications of BAE included subintimal dissection,arterial perforation by a guide wire,fever,chest pain,dyspnea,*** follow-up was completed in 248 patients,28 patients had been dead,21 patients still bleed,92 patients had lost to follow-up.Conclusions：The technique of BAE is a relatively safe and effective method for controlling *** complications of BAE are *** the long-term outcome in some patients is not good,BAE may be the only life-saving treatment option in patients who are poor surgical candidates.

关键词： Bronchial Artery Embolization Complications of Bronchial Artery Embolization hemoptysis recurrent hemoptysis

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