Immediate and late outcomes of bronchial and systemic artery embolization for palliative treatment of patients with nonsmall-cell lung cancer having hemoptysis.
BACKGROUND
Hemoptysis in patients with advanced lung cancer can be a life threatening.


OBJECTIVE
To evaluate immediate outcomes and late outcomes of bronchial artery embolization (BAE) for palliative treatment in patients with advanced nonsmall-cell lung cancer (NSCLC) having hemoptysis.


METHODS
The BAE was performed in 28 patients with NSCLC. Hemoptysis was defined as follows: massive bleeding greater than 300 mL within 24 hours (n = 8), moderate bleeding of 100 to 300 mL within 24 hours (n =12), and slight bleeding less than100 mL within 24 hours (n = 8).


RESULTS
Success rate was 96%. Immediate clinical success within 24 hours after BAE was achieved in 22 of the 27 patients who underwent embolization.


CONCLUSIONS
The BAE with gelatin sponge particles can provide good management of hemoptysis as a palliative treatment in patients with advanced NSCLC.
Department of Radiology, Ube Industries Ltd Central Hospital, Ube, Yamaguchi, Japan r34tfuji@solid.ocn.ne.jp.
Takeshi
T
Fujita
Department of Radiology, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.
Masahiro
M
Tanabe
Department of Radiology, Ube Industries Ltd Central Hospital, Ube, Yamaguchi, Japan.
Kazuko
K
Moritani
Department of Radiology, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.
Naofumi
N
Matsunaga
Department of Radiology, Yamaguchi-Ube Medical Center, Ube, Yamaguchi, Japan.
Tsuneo
T
Matsumoto
D000368:Aged; D000369:Aged, 80 and over; D001981:Bronchial Arteries; D002289:Carcinoma, Non-Small-Cell Lung / Q000150:complications*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006469:Hemoptysis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D012189:Retrospective Studies
bronchial artery embolization; gelatin sponge particles; hemoptysis; nonsmall-cell lung cancer; palliative care