PT  - JOURNAL ARTICLE
AU  - Young Min Lee
TI  - Outcomes of bronchial artery embolisation in the management of clinically significant hemoptysis
DP  - 2012 Sep 01
TA  - European Respiratory Journal
PG  - P404
VI  - 40
IP  - Suppl 56
4099  - http://erj.ersjournals.com/content/40/Suppl_56/P404.short
4100  - http://erj.ersjournals.com/content/40/Suppl_56/P404.full
SO  - Eur Respir J2012 Sep 01; 40
AB  - Objectives: Bronchial artery embolisation(BAE) has been established as an effective technique in the emergency treatment of massive hemoptysis. Aim of the study has been to evaluate immediate and long-term outcomes of BAE and to identify factors influencing outcomes. Methods : A retrospective analysis was carried out of the medical records and angiograms of 120 patients who underwent BAE between January 2005 and December 2009. 79 patients were men and the mean age was 54.5 years. Results: The patients were divided 3 groups including recurrent hemoptysis (&amp;lt;100ml/day: n=29), (100-400ml/day: n=67), massive hemoptysis group (&amp;gt;400ml/day: n=24). The common underlying diseases of hemoptysis were pulmonary tuberculosis and related disorders (51%), bronchiectasis (21%) and aspergilloma (13%). Immediate success rate to control bleeding within 24 hours was 89% (106 cases), long-term success in 62.5%(75cases) and recurrence rate was 26% (31cases). Five patients died from massive hemoptysis. Among initial radiographic findings, pleural lesions (P&amp;lt;0.05) and aspergilloma (P&amp;lt;0.05) were significantly associated with hemoptysis recurrence. A good clinical outcome was achieved in those with active tuberculosis(16%). Among initial angiographic findings, systemic-pulmonary shunt was statistically significant with rebleeding (P&amp;lt;0.05). The complications were mild including fever, chest pain, nausea, vomiting, back pain (21%). Conclusions : Bronchial artery embolisation (BAE) is an effective and safe procedure achieving immediate control of clinically significant hemoptysis. But high recurrence rates are associated with aspergilloma and pleural lesions, systemic-pulmonary shunt in angiography.