The Short- and Long-term Efficacy of Artery Embolization Using Platinum Coils for Hemoptysis
-
- Miyano Yutaka
- Department of Thoracic Surgery, Tokyo Women's Medical University Department of Thoracic Surgery, Saiseikai Kazo Hospital
-
- Oyama Kunihiro
- Department of Thoracic Surgery, Saiseikai Kazo Hospital
-
- Ogihara Akira
- Department of Thoracic Surgery, Tokyo Women's Medical University
-
- Mitsuboshi Shota
- Department of Thoracic Surgery, Tokyo Women's Medical University
-
- Shidei Hiroaki
- Department of Thoracic Surgery, Tokyo Women's Medical University
-
- Nagai Tomohito
- Department of Respiratory Medicine, Saiseikai Kazo Hospital
-
- Saito Yuka
- Department of Respiratory Medicine, Saiseikai Kazo Hospital
-
- Matsumoto Takako
- Department of Thoracic Surgery, Tokyo Women's Medical University
-
- Obara Tetsuya
- Department of Thoracic Surgery, Tokyo Metropolitan Tama Medical Center
-
- Kanzaki Masato
- Department of Thoracic Surgery, Tokyo Women's Medical University
Bibliographic Information
- Other Title
-
- 喀血に対するプラチナコイルを使用した動脈塞栓術の短期,長期の有効性
Search this article
Abstract
<p>Background/Objective. As a treatment for hemoptysis, methods of embolizing arteries communicating with the lungs, such as bronchial artery embolization (BAE), have been established. The short- and long-term efficacy and safety of embolization using platinum coils in our hospital were individually evaluated for each artery involved in hemoptysis. Patients and Methods. A total of 179 patients who received BAE for hemoptysis from January 1998 to December 2012 were included in this study. A platinum coil was used as the embolic material. In addition, the arteries involved in hemoptysis were divided into the bronchial artery (BA) and thoracic wall artery (TA), and cases were classified into groups of diseases related to these arteries (the BA and TA disease groups) to evaluate their short- and long-term results. Results. Short-term outcomes were successful in 56 and failure in 4 in the BA and successful in 111 and failure in 8 in the TA. Long-term outcomes were successful in 54 and failure in 2 in the BA, and successful in 99 and failure in 12 in the TA. The proportion of embolized TA in addition to BAE was significantly higher in the TA group (40.8%) than in the BA group (1.6%). The proportion of patients with long-term failure tended to be higher in the TA (10.8%) than in the BA (3.6%). No patients died or experienced serious complications. Conclusions. Arterial embolization for hemoptysis resulted in a significantly larger number of long-term failures in the group of diseases in which the TAs were considered to be largely involved in hemoptysis than in those involving the BAs. Platinum coils, however, showed high short-term success rates with relatively few complications. Therefore, this approach was considered a recommendable therapy for hemoptysis. Patients with diseases in which BAs were mainly involved in hemoptysis had satisfactory long-term outcomes.</p>
Journal
-
- The Journal of the Japan Society for Respiratory Endoscopy
-
The Journal of the Japan Society for Respiratory Endoscopy 46 (1), 7-12, 2024-01-25
The Japan Society for Respiratory Endoscopy
- Tweet
Details 詳細情報について
-
- CRID
- 1390580605025259008
-
- ISSN
- 21860149
- 02872137
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
-
- Abstract License Flag
- Disallowed