Bronchial artery embolization to control pulmonary hemoptysis

Objective To investitage the value of bronchial artery embolization in the managent of hemoptysis. Methods 45 patients including bronchiectasis (15eases), tuberculosis (23cases), pulmonary carcinoma (4cases), aspergillosis (1 case), unknown hemoptysis (2case) underwent bronchial arteriography or intercostal arteriography and embolized the abnormal vessels. Bronchial artery embolization were 37 cases, intercostal artery embolization were 2 cases, bronchial artery and intercostal artery combine embolization were 5 cases, bronchial artery、intercostal artery and internal thoracic artery combine embolization were 1 case, 20 cases underwent superselective embolization with coaxial microcather. 17 cases embolized with gehine foam, 23 cases embolized with PVA, 5 cases embolized with geltine foam and PVA. All patients were followed 6-18months. Results Immediate arrest of hemoptysis were 30 cases, marked reduce bleeding were 7 cases, repeated hemoptysis were 8 cases and re-embolization had to be carried out in 4 cases, hemoptysis did not occured. Effect rate was 83%(37/45). Severity complication(spinal coard injury) did not occure in all the patient. Conclusion The effect of selective bronchial artery embolization is evidentand and adapted to massive hemoptysis patients failure to medicine treatment or non-surgery adaptation