Abstract：Objective: To analyze the clinical efficacy of the bronchial artery embolization(BAE) for the treatment of life-threatening hemoptysis. Methods: The clinical data of 43 patients with life-threatening hemoptysis treated by BAE were analyzed retrospectively. The patients were followed up for 6 months or more. The effective rate, recurrence rate and complications were analyzed. Results: A total of 91 arteries were found to be responsible for hemoptysis, including 76.9%(70/91) bronchial arteries and 23.1%(21/91) non-bronchial arteries. The effective rate of treatment was 95.3%(41/43) and the recurrence rate of hemoptysis was 14.0%(6/43) after 6 months of follow-up, and no serious complications occurred. Conclusion: BAE is an effective and safe treatment for patients with life-threatening hemoptysis.
严小兰，陈驰华. 支气管动脉栓塞术治疗致命性咯血的疗效分析[J]. 中国临床医学影像杂志, 2020, 31(8): 538-542.
YAN Xiao-lan, CHEN Chi-hua. Analysis of bronchial artery embolization for the treatment of life-threatening hemoptysis. JOURNAL OF CHINA MEDICAL IMAGING, 2020, 31(8): 538-542.
[1]Panda A, Bhalla AS, Goyal A. Bronchial artery embolization in hemoptysis: a systematic review[J]. Diagn Interv Radiol, 2017, 23(4): 307-317.
[2]Okuda K, Masuda K, Kawashima M, et al. Bronchial artery embolization to control hemoptysis in patients with Mycobacterium avium complex[J]. Respir Investig, 2016, 54(1): 50-58.
[3]Tom LM, Palevsky HI, Holsclaw DS, et al. Recurrent Bleeding, Survival, and Longitudinal Pulmonary Function following Bronchial Artery Embolization for Hemoptysis in a U.S. Adult Population[J]. J Vasc Interv Radiol, 2015, 26(12): 1806-1813.
[4]Yu-Tang Goh P, Lin M, Teo N, et al. Embolization for hemoptysis: a six-year review[J]. Cardiovasc Intervent Radiol, 2002, 25(1): 17-25.
[5]宋松林，周国锋，郑传胜，等. TAE治疗大咯血的疗效分析[J]. 放射学实践，2012，27（10）：1124-1127.
[6]Swanson KL, Johnson CM, Prakash UBS, et al. Bronchial artery embolization: experience with 54 patients[J]. Chest, 2002, 121(3): 789-795.
[7]德杰，程钢，李彩英，等. MSCTA对咯血患者支气管动脉的检出及对介入治疗的价值[J]. 放射学实践，2016，31（7）：621-624.
[8]张国栋，张垒，李继军，等. 锥束ＣＴ在动脉栓塞治疗大咯血中的应用[J]. 中国介入影像与治疗学，2019，16（3）：135-138.
[9]Ittrich H, Klose H, Adam G. Radiologic management of haemoptysis: diagnostic and interventional bronchial arterial embolisation[J]. Rofo, 2015, 187(4): 248-259.
[10]Ishikawa H, Hara M, Ryuge M, et al. Efficacy and safety of super selective bronchial artery coil embolisation for haemoptysis: a single-centre retrospective observational study[J]. BMJ Open, 2017, 7(2): e014805.
[11]Woo S, Yoon CJ, Chung JW, et al. Bronchial artery embolization to control hemoptysis: comparison of N-butyl-2-cyanoacrylate and polyvinyl alcohol particles[J]. Radiology, 2013, 269(2): 594-602.
[12]宋蒨，徐强，黄优华，等. 永久性栓塞材料联合应用在大咯血介入治疗中的效果分析[J]. 南通大学学报：医学版，2018，38（4）：46-48.
[13]Agmy GM, Wafy SM, Mohamed SAA, et al. Bronchial and nonbronchial systemic artery embolization in management of hemoptysis: experience with 348 patients[J]. Int Sch Res Not, 2013, 26(5): e263259.
[14]Anuradha C, Shyamkumar NK, Vinu M, et al. Outcomes of bronchial artery embolization for life-threatening hemoptysis due to tuberculosis and post-tuberculosis sequelae[J]. Diagn Interv Radiol, 2011, 18(1): 96-101.
[15]Fruchter O, Schneer S, Rusanov V, et al. Bronchial artery embolization for massive hemoptysis: long-term follow-up[J]. Asian Cardiovasc Thorac Ann, 2015, 23(1): 55-60.
[16]Labbe H, Bordeleau S, Drouin C, et al. Myocardial Infarction as a Complication of Bronchial Artery Embolization[J]. Cardiovasc Intervent Radiol, 2017, 40(3): 460-464.
[17]Coolen N, Gouya H, Kanaan R, et al. Renin-associated hypertension after bronchial artery embolization in cystic fibrosis[J]. J Cyst Fibros, 2016, 15(2): 213-215.
[18]Navarro Esteva J, Perez Mendoza G, Pardo Moreno MD, et al. Skin necrosis as a complication of bronchial artery embolization[J]. Rev Clin Esp, 2015, 215(3): 190-191.
