Bronchial Artery Embolization for Hemoptysis
CHARINDR EURVILAICHIT, B.Sc., M.D.*, TAW AT SUPASINSATHIT, M.D.**, SA WANG SAENGHIRUNV ATTANA, M.D.***
Affiliation : * Department of Radiology, Faculty of Medicine, Ramathibodi Hospital, ** Department oflnternal Medicine, Ramkhamhaeng Hospital, 2138 Ramkhamhaeng Road, Bangkapi. Bangkok 10240. *** Department of Internal Medicine, Faculty of Medicine, Ramathibodi Hospital, Bangkok 10400, Thailand.
Materials and Methods : Ten patients (6 male, 4 female) with hemoptysis underwent BAE. Five patients had massive life-threatening hemoptysis ( 4 tuberculosis and I bronchogenic carci- noma) and 5 had chronic hemoptysis (4 tuberculosis and I bronchogenic carcinoma). All patients received BAE by transfemoral arterial approach using gelfoam particles and Ivalon as the embolized materials. Bronchial arteries were abnormal in all cases except one patient who had bronchogenic carcinoma supplied by the acromiothoracic artery to the left upper lobe.
Results and Conclusion : Chest radiograph may correlate well with angiographic findings if there is one lobar lesion, but multiple lobar lesions showed no correlation between the two modalities. Hypervascularity was a universal findings in all patients. Other angiographic findings were enlarged bronchial or nonbronchial arteries, systemic to pulmonary anastomosis, pseudoaneurysm, and extravasation of contrast media. The immediate result of BAE achieved I 00 per cent but follow-up showed only a 70 per cent success rate with one mortality from recurrent massive hemoptysis and two recurrent cases due to complications. Ivalon which is a permanent embolized material may be useful for recurrent hemoptysis.
Keywords : Bronchial Artery, Embolization, Hemoptysis
