[Bronchial artery embolisation using platinum coils in 52 patients with severe pulmonary hemorrhage].
BACKGROUND
Severe pulmonary hemorrhage ist life-threatening. One of the treatment options in case of severe pulmonary hemorrhage is bronchial artery embolisation (BAE) with different embolisation materials.


METHODS
Efficacy of BAE using platinum coils was investigated retrospectively in a total of 52 patients. 22 suffered from benign lung diseases (angiodysplasia, inflammation, bronchiectasia) and 30 patients had lung cancer (lung metastases in two cases).


RESULTS
Primary hemostasis was achieved in over 90 % of the patients (47 of 52). Recurrent BAE was necessary in 23 % of patient with benign etiologies and in 50 % of the tumor patients. Comparing the results of the lung cancer patients with a control group from a teaching hospital without BAE we found survival-advantages for those patients treated with BAE.


CONCLUSIONS
Our results underline the usefulness of BAE in severe pulmonary hemorrhage.
Schmidt
B
B
Medizinische Klinik, Schwerpunkt Pneumologie, Charité, Universitätsmedizin Berlin, Campus-Mitte. b.schmidt@charite.de
Liebers
U
U
Kröncke
T
T
John
M
M
Witt
C
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001981:Bronchial Arteries; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006469:Hemoptysis / Q000209:etiology / Q000628:therapy; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008171:Lung Diseases / Q000209:etiology / Q000628:therapy*; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D008875:Middle Aged; D010984:Platinum; D012008:Recurrence; D012189:Retrospective Studies
D010984:Platinum