Purpose: To review our method of embolization for hemoptysis.
Methods: Between 1993 and 1999, 134 patients were treated in our department for hemoptysis. One hundred and sixteen patients were followed up (18 were lost to follow-up) over a period ranging from 1 to 66 months (median 9.5 months, SD 14.81 months). Most cases were due to tuberculosis (83.6%) and malignancy (9.5%). One hundred and three required embolization. Vascular access was obtained via the femoral route but two cases required a brachial approach for abnormal branches of the subclavian artery. All abnormal vessels found were embolized using polyvinyl alcohol particles alone or in combination with gelfoam.
Results: Bronchial artery hypertrophy was found in 88.3% of cases; about a third of which had a nonbronchial systemic contribution. No angiographic abnormalities were found in 11.2%. Our failure rate was 18.4% (58% required surgery while 42% died from massive hemoptysis). Sixteen cases required multiple embolization sessions. No major complications were encountered.
Conclusion: Embolization is effective for treatment of moderate to massive hemoptysis. The majority of our cases were due to tuberculosis. Approximately one third had nonbronchial systemic artery contributions, indicating that a concerted search for these is mandatory.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00270-001-0047-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Diagnostic management of acute pulmonary embolism: a prediction model based on a patient data meta-analysis.
Eur Heart J
August 2023
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Universiteitsweg 100, 3584 CG, Utrecht, The Netherlands.
Article Synopsis
- * Researchers conducted a detailed meta-analysis involving 28,305 adult patients across various healthcare settings and developed a logistic regression model incorporating ten key predictors like age, sex, and previous medical history.
- * The final model demonstrated high accuracy with a c-statistic of 0.87, showing it was more effective than existing algorithms (like the Wells score), although it slightly overestimated low probability cases.
Incidence of Respiratory Pathogens in Naval Special Warfare Sea, Air, and Land Team Candidates With Swimming-Induced Pulmonary Edema.
Chest
May 2023
Pulmonary and Critical Care Department, Naval Medical Center, San Diego, CA.
Background: Swimming-induced pulmonary edema (SIPE) is a respiratory condition frequently seen among Naval Special Warfare (NSW) trainees. The incidence of positive respiratory panel (RP) findings in trainees with a diagnosis of SIPE currently is unknown.
Research Question: Does a significant difference exist in the incidence of respiratory pathogens in nasopharyngeal samples of NSW candidates with SIPE and a control group?
Study Design And Methods: Retrospective analysis of clinical information from NSW Sea, Air, and Land (SEAL) team candidates with a diagnosis of SIPE over a 12-month period.
[Clinical features and survival analysis of microscopic polyangiitis-associated interstitial lung disease:a retrospective study of 28 patients].
Zhonghua Jie He He Hu Xi Za Zhi
October 2022
Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Medical School of Ningbo University, Ningbo 315020, China.
To explore the clinical features, laboratory examination and imaging features of microscopic polyangiitis (MPA)-associated interstitial lung disease (ILD), and to perform survival analysis. The records of 28 patients with MPA-ILD who were treated at the Affiliated Hospital of Medical School of Ningbo University were reviewed retrospectively from August 2014 to November 2021. The patients' clinical features, laboratory parameters, pulmonary function test, echocardiography, chest CT scan findings and therapeutic regimen were analyzed, and the relevant data were statistically analyzed.
View Article and Find Full Text PDFPulmonary aspergilloma in immunocompromised patients in a Respiratory Care Unit.
J Infect Dev Ctries
March 2022
Pneumology and Thorax Surgery Service, General Hospital of Mexico, Dr. Eduardo Liceaga, Mexico City, Mexico.
Introduction: Pulmonary aspergilloma is commonly associated with comorbidities that cause immunodeficiency such as diabetes mellitus, tuberculosis, human immunodeficiency virus/acquired immunodeficiency syndrome and/or a pre-existing parenchymal lung disease such as chronic obstructive pulmonary disease. Predisposing factors can further increase the risk of acquiring this mycosis. Our objective was to determine the frequency, clinical and microbiological characteristics of pulmonary aspergilloma in immunocompromised patients.
View Article and Find Full Text PDF[Clinical analysis of 16 cases of pulmonary epithelioid hemangioendothelioma].
Zhonghua Jie He He Hu Xi Za Zhi
November 2021
Department of Radiology, Fuzhou Pulmonary Hospital, Fuzhou 350008, China.
To improve the diagnosis and treatment of pulmonary epithelioid hemangioendothelioma (P-EHE). Sixteen patients diagnosed with P-EHE in Fuzhou Pulmonary Hospital of Fujian Province from January 2009 to July 2020 were collected. Their gender, age, imaging findings, pathological characteristics, treatment protocols, survival and other clinical data were summarized and analyzed.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!