BRONCHIAL ARTERIOGRAPHY AND EMBOLOTHERAPY FOR HEMOPTYSIS IN PATIENTS WITH CYSTIC-FIBROSIS

被引：49

作者：

TONKIN, ILD

HANISSIAN, AS

BOULDEN, TF

BAUM, SL

GAVANT, ML

GOLD, RE

GEORGE, P

GREEN, WJ

机构：

[1] Department of Radiology, LeBonheur Children's Medical Center, The University of Tennessee, Memphis, Memphis, 38103, TN

[2] Department of Pediatrics, The University of Tennessee, Memphis, Tennessee

[3] Department of Pediatrician, Baptist Memorial Hospital, Memphis, Tennessee

[4] Department of Radiology, The University of Tennessee, Memphis, Tennessee

[5] Department of Radiology, The University of South Alabama, Mobile, Alabama

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1991年 / 14卷 / 04期

关键词：

HEMOPTYSIS; EMBOLOTHERAPY; DIGITAL SUBTRACTION ANGIOGRAPHY; BRONCHIAL ARTERIOGRAPHY; CYSTIC FIBROSIS;

D O I：

10.1007/BF02578470

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Bronchial arteriography and embolotherapy were performed to control hemoptysis in 11 patients with advanced stages of cystic fibrosis. Two patients suffered massive, 1 moderate, and 8 mild but recurrent hemoptysis. The embolization procedures were performed with Gelfoam, Ivalon, and coils in one to four separate procedures. Altogether, 19 of 20 procedures were successful, with follow-up periods ranging from 9 months to 8 years. No serious complications were encountered except for one femoral artery pseudoaneurysm which required surgical repair. Rapid digital subtraction angiography and "roadmapping" were considered helpful in avoiding the complication of reflux embolization and expediting the procedures. Bronchial embolization is a lifesaving procedure for severe hemoptysis in patients with cystic fibrosis and is considered safe enough to include the indications of moderate and mild/recurrent hemoptysis to improve the quality of life in these patients.

引用

页码：241 / 246

页数：6

共 22 条

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