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Bronchial Artery Embolization in Life-Threatening Hemoptysis: Outcome and Predictive Factors

Authors
  • Dorji, Kinley1
  • Hongsakul, Keerati1
  • Jutidamrongphan, Warissara1
  • Oofuvong, Maliwan1
  • Geater, Sarayut1
  • 1 Prince of Songkla University, TH
Type
Published Article
Journal
Journal of the Belgian Society of Radiology
Publisher
Ubiquity Press
Publication Date
Feb 01, 2021
Volume
105
Issue
1
Identifiers
DOI: 10.5334/jbsr.2310
PMID: 33598631
PMCID: PMC7863850
Source
PubMed Central
Keywords
License
Green
External links

Abstract

Purpose: To determine the outcome and predictive factors of clinical success of bronchial artery embolization in life-threatening hemoptysis. Material and Methods: We reviewed all bronchial artery embolization procedures performed for life-threatening hemoptysis between January 2008 and December 2018. The outcomes and predictive factors of clinical success following embolization were evaluated. Results: One hundred and eighty-four bronchial artery embolization procedures performed in 145 patients were eligible for the study. The technical and clinical success rates of the procedures were 170/184 (92.4%) and 129/184 (70.1%), respectively. The unstable hemodynamics and prothrombin time/international normalized ratio >1.5 was associated with lower clinical success rate, while embolization of more than one vessel was associated with higher clinical success rate. Conclusion: Bronchial artery embolization is a safe and effective procedure for controlling bleeding in life-threatening hemoptysis. However, low clinical success rate was noted in patients with unstable hemodynamics and coagulopathy, while multiple vessel embolization was associated with higher clinical success.

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