Clinical evaluation on bronchial artery embolization in the treatment of severe hemoptysis

Abstract:

Objective：To evaluate the clinical effects of bronchial artery embolization（BAE） on refractory hemoptysis. Methods：Forty-four patients with hemoptysis were treated with BAE using one or more of polyvinyl alcohol（PAV），metallic colis and Onyx. Results：Totally 48 times of BAE were successfully performed on all pa－tients，who stopped hemoptysis with the overall effective rate of 90.9%. Hemoptysis recurred in 4 cases with the recurrent rate of 9.1%. After BAE，6 patients developed chest pain and 1 patient developed abdomen pain，but all relieved without any treatment. No case of ectopic embolization，spinal cord injury and other serious complication was observed. Conclusion：Bronchial artery embolization is a fast，safe and effective approach in the treatment of refractory hemoptysis.