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Bronchial Artery Embolization in Life-Threatening Hemoptysis: Outcome and Predictive Factors

PURPOSE: To determine the outcome and predictive factors of clinical success of bronchial artery embolization in life-threatening hemoptysis. MATERIAL AND METHODS: We reviewed all bronchial artery embolization procedures performed for life-threatening hemoptysis between January 2008 and December 201...

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Detalles Bibliográficos
Autores principales: Dorji, Kinley, Hongsakul, Keerati, Jutidamrongphan, Warissara, Oofuvong, Maliwan, Geater, Sarayut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863850/
https://www.ncbi.nlm.nih.gov/pubmed/33598631
http://dx.doi.org/10.5334/jbsr.2310
Descripción
Sumario:PURPOSE: To determine the outcome and predictive factors of clinical success of bronchial artery embolization in life-threatening hemoptysis. MATERIAL AND METHODS: We reviewed all bronchial artery embolization procedures performed for life-threatening hemoptysis between January 2008 and December 2018. The outcomes and predictive factors of clinical success following embolization were evaluated. RESULTS: One hundred and eighty-four bronchial artery embolization procedures performed in 145 patients were eligible for the study. The technical and clinical success rates of the procedures were 170/184 (92.4%) and 129/184 (70.1%), respectively. The unstable hemodynamics and prothrombin time/international normalized ratio >1.5 was associated with lower clinical success rate, while embolization of more than one vessel was associated with higher clinical success rate. CONCLUSION: Bronchial artery embolization is a safe and effective procedure for controlling bleeding in life-threatening hemoptysis. However, low clinical success rate was noted in patients with unstable hemodynamics and coagulopathy, while multiple vessel embolization was associated with higher clinical success.