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Recurrent bleeding after arterial embolization in patients with hemoptysis
O Katoh1, T Kishikawa, H Yamada
1Department of Internal Medicine, Saga Medical School, Japan.
Chest
|March 1, 1990
Summary
Arterial embolization is effective for hemoptysis but may recur, especially with mycetoma. Repeated embolization combined with surgery offers improved treatment for recurrent bleeding.
Area of Science:
- Interventional Radiology
- Pulmonary Medicine
Background:
- Hemoptysis, or coughing up blood, can stem from nonmalignant conditions.
- Arterial embolization is a common initial treatment for severe hemoptysis.
Purpose of the Study:
- To evaluate the recurrence rates of hemoptysis after arterial embolization.
- To identify factors associated with recurrence and assess the efficacy of repeat treatments.
Main Methods:
- Retrospective analysis of 33 patients with hemoptysis treated with arterial embolization.
- Review of arteriograms for vascularity, collateral circulation, and recanalization.
- Analysis of recurrence rates after initial and subsequent embolization procedures.
Main Results:
- Recurrence of hemoptysis occurred in 21.2% of patients.
- Patients with mycetoma had the highest recurrence rate (75%).
- Recanalization and collateral revascularization were observed in repeat arteriograms.
- Surgery following embolization resulted in no recurrences.
Conclusions:
- Arterial embolization is a useful palliative treatment for hemoptysis but does not cure the underlying cause.
- Recurrence is possible, particularly in cases of mycetoma.
- Combination therapy of repeated embolization and surgery may enhance treatment efficacy for recurrent hemoptysis.