EMBOLIZATION THERAPY IN HEMOPTYSIS

被引:7
作者
LAMPMANN, LEH
TJAN, TG
机构
[1] St. Elisabeth Hospital, Department of Radiology, 5022 GC Tilburg
[2] Armed Forces Hospital, Department of Neuroradiology, 11159 Riyadh
关键词
ARTERIES; INTERVENTIONAL PROCEDURE; PULMONARY; BRONCHIAL; INTERVENTIONAL RADIOLOGY; THORAX;
D O I
10.1016/0720-048X(94)90356-5
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Massive haemoptysis is a serious clinical condition to be treated with transcatheter embolotherapy of bronchial and/or other systemic arteries to the lungs. Lung bleeding frequently originates from sites other than bronchials alone. It is important to consider the extensive collateral network between bronchial, intercostal and pulmonary arteries and veins. Between 1980 and 1991, 70 patients were embolized. Fifty individuals were controlled with a mean follow-up time of 62 months. Most frequently pathology was seen in vessels originating from the right upper middle lung region. The embolization agents we used were IBC, NIBC, dura mater particles, and Ivalon + IBC. Recurrent bleeding was noticed in five patients, but not from embolized vessels. No major complications were encountered. Selective embolotherapy with tissue adhesives resulted in good short-term (90%) and long-term (100%) results. In 10% of cases, two or more embolization sessions were needed to cure the patient of haemoptysis.
引用
收藏
页码:15 / 19
页数:5
相关论文
共 24 条
[11]  
Reichardt, Buck, Angiographie und Katheter embolisation von Bronchialarterien bei Hämoptysen, Radiologe, 22, pp. 497-500, (1982)
[12]  
Crocco, Rooney, Fankushen, Di Benedetto, Lyons, Massive haemoptysis, Arch Intern Med, 121, pp. 495-498, (1986)
[13]  
Garzon, Cerruti, Gourin, Karlson, Pulmonary resection for massive haemoptysis, Surgery, 67, pp. 633-638, (1970)
[14]  
Grenier, Cornud, Lacombe, Viau, Nahum, Bronchial artery occlusion for severe haemoptysis Use of Isobutyl-2 cyanoacrylate, American Journal of Roentgenology, 140, pp. 467-471, (1985)
[15]  
Rabkin, Astafjev, Gothman, Grigorjev, Transcatheter embolization in the management of pulmonary hemorrhage, Radiology, 163, pp. 361-365, (1987)
[16]  
Heesch, Tjan, Lampmann, Treatment of haemoptysis by embolization of the systemic arteries with isobutyl-2-cyanoacrylate: technique and long term results, J Interv Radiol, 3, pp. 63-68, (1988)
[17]  
Cohen, Doershuk, Stern, Bronchial artery embolization to control haemoptysis in cystic fibrosis, Radiology, 175, pp. 401-405, (1990)
[18]  
Kunstlinger, Brunelle, Chaumont, Doyon, Vascular occlusive agents, AJR, 136, pp. 151-156, (1981)
[19]  
Tonnel, Ramon, Van Parys, Lafitte, Voisin, The treatment of massive haemoptysis by systemic arterial ablation, JBR/BTR, 61, pp. 119-126, (1978)
[20]  
Viau, Grenier, Fournier, Nahum, Pariente, L'artériographie bronchique dans le diagnostic topographique et le traitement des hémoptysies. A propos de 34 observations, Rev Fr Mal Respir, 9, pp. 393-401, (1981)