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《Chinese Journal of Thrombosis and Hemostasis》 2012-05
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Analysis of Effect of Bronchial Arterial Embolization in Treating Massive Hemoptysis

QI Yue-yong,ZOU Li-guang,LIU Wei-jing,LIU Yun.(The Third Military Medical University Affiliated Xinqiao Hospital,Chongqing 400037,China.Corresponding author)  
Objective To evaluate the curative effects of bronchial arterial embolization(BAE)in the treatment of massive hemoptysis.Methods 74 patients with massive hemoptysis underwent BAE by using PVA particles through transfemoral anterial approach.The underlying diseases included 30 cases of bronchiectasis,21 cases of pulmonary tuberculosis,20 cases of pulmonary carcinoma,1 case of lung abscess,and 2 cases of hemoptysis with occult origin.Results The overall effective rate for 2 years were 90.5%.The immediate clinical success,defined as hemoptysis control,was obtained in 73 patients(98.6%).The follow-up time was more than 2 years in 73 patients.Among them,4 patients suffered from recurrent massive hemoptysis and died of air way obstruction within 15 days after BAE.A reembolization was performed in 3 of 4 patients experienced recurrent hemoptysis.In addition,2 patients with reembolization were operated after embolization.Conclusion BAE is a safe,less invasive and effective method in the treatment of massive hemoptysis.
【Fund】: 第三军医大学新桥医院临床科研资助(2011D271)
【CateGory Index】: R563.6
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