title: Nine-year single-center experience with transcatheter arterial embolization for hemoptysis: medium-term outcomes.
abstract: OBJECTIVE
  To determine the medium-term efficacy of transcatheter arterial embolization (TAE) for hemoptysis.
  
  
  METHODS
  A total of 128 TAE were performed from April 1999 to April 2008 in 58 patients (30:28 F:M) with mean age of 49 (range:16-89). Major causes of hemoptysis included cystic fibrosis/bronchiectasis (24 of 58); lung metastasis (8 of 58); lung cancer (7 of 58); fungal infection (4 of 58). Follow-up was available in 57 of 58 for a median of 1.28 years. Primary and secondary efficacy of TAE for hemoptysis was calculated using Kaplan-Meier estimates.
  
  
  RESULTS
  Technical and clinical successes were estimated at 58 (100%) of 58 and 57 (98%) of 58, respectively. Recurrent hemoptysis occurred in 40% (23 of 58). In all, 34% (20 of 58) died during follow-up. Kaplan-Meier estimates for primary and secondary efficacy of TAE at 2, 4, 6, and 8 years were 0.82, 0.46, 0.17, and 0.09 (benign disease) and 0.30, 0, 0, and 0 (malignant disease), respectively.
  
  
  CONCLUSIONS
  TAE is an effective treatment for hemoptysis in both short- and medium-terms, especially in benign lung disease.
authors: Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. bhavikadave@msn.com
authors: Bhavika R
authors: BR
authors: Dave
authors: Ashish
authors: A
authors: Sharma
authors: Sanjeeva P
authors: SP
authors: Kalva
authors: Stephan
authors: S
authors: Wicky
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001900:Boston; D001999:Bronchoscopy; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000401:mortality; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000401:mortality; D005260:Female; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D012008:Recurrence; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult