Superselective bronchial artery embolization for hemoptysis with a coaxial microcatheter system

被引：101

作者：

Tanaka, N ^{[1
]}

Yamakado, K ^{[1
]}

Murashima, S ^{[1
]}

Takeda, K ^{[1
]}

Matsumura, K ^{[1
]}

Nakagawa, T ^{[1
]}

Takano, K ^{[1
]}

Ono, M ^{[1
]}

Hattori, T ^{[1
]}

机构：

[1] YAMADA RED CROSS HOSP,DEPT RADIOL,ISE,MIE,JAPAN

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 1997年 / 8卷 / 01期

关键词：

arteries; bronchial; therapeutic blockade; catheters and catheterization; lung; haemorrhage;

D O I：

10.1016/S1051-0443(97)70517-7

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：

PURPOSE: To compare the effectiveness and safety of superselective bronchial artery embolization with that of nonsuperselective embolization in the control of hemoptysis. MATERIALS AND METHODS: Retrospective case analysis was done for 47 patients with hemoptysis originating from a variety of causes, In 22 patients, embolization was performed superselectively using a microcatheter inserted into the bronchial artery beyond the spinal or mediastinal branches (superselective group), In the remaining 25 patients, embolization was performed at the opening of the bronchial artery with a 5-F catheter (nonsuperselective group). RESULTS: Initial hemoptysis control rates were 96% (21 of 22) in the superselective group and 88% (22 of 25) in the nonsuperselective group, Cumulative hemoptysis control rates of the superselective and nonsuperselective groups were 80% and 67% at 6 months, 79% and 56% at 1 and 2 years, and 79% and 48% at 3 years, respectively (not significant; generalized Wilcoxon test), One major complication (spinal infarction) occurred in the nonsuperselective group. CONCLUSIONS: Superselective embolization is a safer and more effective way to control hemoptysis than the ordinary (nonsuperselective) method.

引用

页码：65 / 70

页数：6

共 17 条

[1] BRONCHIAL ARTERY EMBOLIZATION TO CONTROL HEMOPTYSIS IN CYSTIC-FIBROSIS [J].