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首页> 外文期刊>Acta Radiologica >Bronchial artery embolization in patients with hemoptysis including follow-up.
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Bronchial artery embolization in patients with hemoptysis including follow-up.

机译：咯血患者的支气管动脉栓塞包括随访。

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BACKGROUND; Hemoptysis can be an acute medical emergency, which can be localized angiographically and controlled by therapeutic intervention. PURPOSE: To evaluate the effectiveness and safety of bronchial artery embolization, and including follow-up in patients with hemoptysis. MATERIAL AND METHODS: Thirty-five vascular interventions were performed in 28 patients (nine women and 19 men, mean age 42 years, age range 20-82 years) treated for hemoptysis between January 1998 and October 2008. Underlying diseases were cystic fibrosis (n = 9), lung cancer (n = 6), chronic inflammatory disease (n = 4), bronchiectasis (n = 3), chronic obstructive pulmonary disease (n = 2), and other (n = 4). Bronchial artery embolization was performed using particles. Patients were followed up for a median of 23 months (range 1 month to 8 years). RESULTS: Bronchial artery embolization was technically successful in all patients (bleeding halted within 24 hours). Recurrent bleeding occurred in four patients with cystic fibrosis (14%) at one, 16, 19 and 48 months, respectively. Within this subset, multirecurrence bleeding occurred in one patient with cystic fibrosis. Cumulative patient survival rate was 74% at eight years. No patient died due to hemoptysis but due to underlying disease. CONCLUSION: Bronchial artery embolization was highly effective in patients with hemoptysis. It may help to avoid surgery in patients who are poor candidates for surgery. Should hemoptysis recur in these patients, repeated embolization can be performed.
机译：背景;咯血可以是急性医学急症，可以在血管造影术中定位并通过治疗干预加以控制。目的：评估支气管动脉栓塞术的有效性和安全性，包括咯血患者的随访。材料与方法：在1998年1月至2008年10月间接受咯血治疗的28例患者（9例女性和19例男性，平均年龄42岁，年龄范围20-82岁）进行了35例血管介入治疗。潜在疾病为囊性纤维化（n = 9），肺癌（n = 6），慢性炎性疾病（n = 4），支气管扩张（n = 3），慢性阻塞性肺疾病（n = 2）和其他疾病（n = 4）。使用颗粒进行支气管动脉栓塞。对患者进行了中位23个月（1个月至8年）的随访。结果：所有患者的支气管动脉栓塞术均在技术上成功（出血在24小时内停止）。分别在1、16、19和48个月时有4例囊性纤维化患者（14％）发生复发性出血。在此子集中，一名囊性纤维化患者发生多发性出血。八年累计患者生存率为74％。没有患者因咯血而死，而是由于基础疾病。结论：咯血患者支气管动脉栓塞术非常有效。对于那些不适合手术的患者，这可能有助于避免手术。如果这些患者再次出现咯血，可以重复进行栓塞术。

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