The Therapy Effect of Emergent Bronchial Artery Embolization in Massive Hemoptysis

Objective To evaluate the effect of emergency branchial artery embolization(BAE) in hemoptysis.Methods Thirty-two cases with massive hemoptysis underwent emergent bronchial artery embolization with the following methods:branches of bronchial artery participated embolization with PVA micropheres,silk thread via Cobra catheter or RLG catheter or microcatheter,and the main trunk of bronchial artery abturation with particles of Gelfoam or/and coil again.Rusults In 32 cases with hemoptysis,31cases(96.88%) were stanched immediately.One cases(3.13%)failed with embolization.Hemoptysis recurred in 8 cases in 4 days～36 months and a second embolization was performed.Conclusion Bronchial artery embolization are effective in the treatment of massive hemoptysis and was first method of choice for massive hemoptysis.