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Fabricated bronchial artery embolization for hemoptysis using a coil
Yutaka Miyano1, Masato Kanzaki2, Tetsuya Obara3
1Department of Surgery, Tokyo Women's Medical University, Tokyo, Japan miyano@chi.twmu.ac.jp.
Asian Cardiovascular & Thoracic Annals
|April 14, 2016
Summary
Bronchial artery embolization (BAE) is an effective treatment for hemoptysis. This study shows BAE is safe and minimally invasive, with positive short- and long-term outcomes, and coil combinations reduce procedure time and cost.
Area of Science:
- Interventional Radiology
- Pulmonary Medicine
Background:
- Bronchial artery embolization (BAE) is a conservative therapy for hemoptysis.
- The study evaluates the efficacy and safety of BAE and embolization coil performance.
Purpose of the Study:
- To examine the short- and long-term effects of BAE for hemoptysis.
- To assess the performance of embolization coils utilized in the procedure.
Main Methods:
- Retrospective review of 27 hemoptysis cases treated with BAE (April 2003 - October 2011).
- Analysis of patient background, symptoms, findings, and prognosis.
- Evaluation of embolization materials, primarily short coils with long interlocking detachable coils since March 2008.
Main Results:
- Aspergillosis and chronic empyema were common indications for BAE.
- Short-term success rate was 25 out of 27 cases.
- Long-term follow-up (average 17 months) showed one repeat BAE and one recurrent hemoptysis case.
Conclusions:
- BAE is a safe, minimally invasive treatment for hemoptysis with favorable short- and long-term results.
- Combining long and short coils reduces the number of coils needed, decreasing procedure time and cost.
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