[Bronchial and non-bronchial systemic artery embolization for hemoptysis due to non-neoplastic lung diseases. Immediate effect and long-term results].
Forty-four patients with massive or repeated hemoptysis due to nonneoplastic lung diseases were treated by embolization of the bronchial and non-bronchial systemic arteries with Ivalon particles or a mixture of Ivalon and gelatin sponge particles during the past five and a half years. Immediate control of hemoptysis was achieved in 43 patients (98%), and no spinal cord ischemia was observed. Among 30 patients followed for more than 12 months, successful control of hemoptysis was obtained in 22 (73%). Hemoptysis recurred in eight patients (27%); four underwent repeated embolotherapy alone, two underwent surgery alone, and two underwent repeated embolization and surgery. Successful control of hemoptysis was achieved after repeated embolization and/or surgery in all eight patients. It is concluded that embolization of bronchial and non-bronchial systemic arteries is an effective initial treatment for hemoptysis, and good long-term results can be obtained in combination with surgery.
Matsumoto
S
S
Department of Radiology, Saga Medical School.
Kishikawa
T
T
Kudo
S
S
Matsuo
Y
Y
Yamada
H
H
Katoh
O
O
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001981:Bronchial Arteries; D004621:Embolization, Therapeutic; D005260:Female; D006469:Hemoptysis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008171:Lung Diseases / Q000150:complications* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies