Prognosis of bronchial artery embolization in the management of hemoptysis

Shin Ichi Osaki, Yoichi Nakanishi, Hiroshi Wataya, Koichi Takayama, Koji Inoue, Youichi Takaki, Sadayuki Murayama, Nobuyuki Hara

研究成果: ジャーナルへの寄稿記事

59 引用 (Scopus)

抄録

Background: Bronchial artery embolization (BAE) is a well-accepted and widely used treatment modality for the management of massive and recurrent hemoptysis. However, few reports have previously investigated the long-term results. Objectives: To investigate the prognosis of patients with hemoptysis who had undergone BAE. Methods: Twenty-two patients with hemoptysis underwent BAE. The underlying diseases included bronchiectasis in 9, aspergillosis in 3, chronic bronchitis in 2, idiopathic bronchial bleeding in 4, and other diseases in 4. The follow-up period ranged from 25 to 88 months (median 47 months). Results: After the initial BAE, 11 of 22 (50%) patients had re- bleeding (5 patients with hemoptysis and 6 patients with minor hemosputa). Among them, 1 patient suffered from recurrent massive hemoptysis and died from airway obstruction within 1 month after BAE. In addition, 10 of these 11 (90.9%) patients experienced recurrent airway bleeding within 3 years after BAE. Recurrent cases of hemoptysis were seen in 6 of 22 patients (27.3%) within 3 years and no case recurred later than 3 years after BAE. A recurrence of hemoptysis was frequently seen in patients with either bronchiectasis or pulmonary-bronchial artery (P-B) shunt. Although BAE is an effective treatment for the immediate control of hemoptysis, 5 of the patients experienced recurrent bleeding in the long-term follow-up. Conclusions: It is important to follow-up such patients until 3 years after initial BAE, especially when either ectatic changes of the bronchi on a CT scan or a P-B shunt on angiographic findings are detected. Copyright (C) 2000 S. Karger AG, Basel.

元の言語英語
ページ(範囲)412-416
ページ数5
ジャーナルRespiration
67
発行部数4
DOI
出版物ステータス出版済み - 1 1 2000

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Bronchial Arteries
Hemoptysis
Hemorrhage
Bronchiectasis
Pulmonary Artery
Aspergillosis
Chronic Bronchitis
Airway Obstruction
Bronchi

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine

これを引用

Osaki, S. I., Nakanishi, Y., Wataya, H., Takayama, K., Inoue, K., Takaki, Y., ... Hara, N. (2000). Prognosis of bronchial artery embolization in the management of hemoptysis. Respiration, 67(4), 412-416. https://doi.org/10.1159/000029540

Prognosis of bronchial artery embolization in the management of hemoptysis. / Osaki, Shin Ichi; Nakanishi, Yoichi; Wataya, Hiroshi; Takayama, Koichi; Inoue, Koji; Takaki, Youichi; Murayama, Sadayuki; Hara, Nobuyuki.

:: Respiration, 巻 67, 番号 4, 01.01.2000, p. 412-416.

研究成果: ジャーナルへの寄稿記事

Osaki, SI, Nakanishi, Y, Wataya, H, Takayama, K, Inoue, K, Takaki, Y, Murayama, S & Hara, N 2000, 'Prognosis of bronchial artery embolization in the management of hemoptysis', Respiration, 巻. 67, 番号 4, pp. 412-416. https://doi.org/10.1159/000029540
Osaki SI, Nakanishi Y, Wataya H, Takayama K, Inoue K, Takaki Y その他. Prognosis of bronchial artery embolization in the management of hemoptysis. Respiration. 2000 1 1;67(4):412-416. https://doi.org/10.1159/000029540
Osaki, Shin Ichi ; Nakanishi, Yoichi ; Wataya, Hiroshi ; Takayama, Koichi ; Inoue, Koji ; Takaki, Youichi ; Murayama, Sadayuki ; Hara, Nobuyuki. / Prognosis of bronchial artery embolization in the management of hemoptysis. :: Respiration. 2000 ; 巻 67, 番号 4. pp. 412-416.
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title = "Prognosis of bronchial artery embolization in the management of hemoptysis",
abstract = "Background: Bronchial artery embolization (BAE) is a well-accepted and widely used treatment modality for the management of massive and recurrent hemoptysis. However, few reports have previously investigated the long-term results. Objectives: To investigate the prognosis of patients with hemoptysis who had undergone BAE. Methods: Twenty-two patients with hemoptysis underwent BAE. The underlying diseases included bronchiectasis in 9, aspergillosis in 3, chronic bronchitis in 2, idiopathic bronchial bleeding in 4, and other diseases in 4. The follow-up period ranged from 25 to 88 months (median 47 months). Results: After the initial BAE, 11 of 22 (50{\%}) patients had re- bleeding (5 patients with hemoptysis and 6 patients with minor hemosputa). Among them, 1 patient suffered from recurrent massive hemoptysis and died from airway obstruction within 1 month after BAE. In addition, 10 of these 11 (90.9{\%}) patients experienced recurrent airway bleeding within 3 years after BAE. Recurrent cases of hemoptysis were seen in 6 of 22 patients (27.3{\%}) within 3 years and no case recurred later than 3 years after BAE. A recurrence of hemoptysis was frequently seen in patients with either bronchiectasis or pulmonary-bronchial artery (P-B) shunt. Although BAE is an effective treatment for the immediate control of hemoptysis, 5 of the patients experienced recurrent bleeding in the long-term follow-up. Conclusions: It is important to follow-up such patients until 3 years after initial BAE, especially when either ectatic changes of the bronchi on a CT scan or a P-B shunt on angiographic findings are detected. Copyright (C) 2000 S. Karger AG, Basel.",
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AU - Osaki, Shin Ichi

AU - Nakanishi, Yoichi

AU - Wataya, Hiroshi

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AU - Inoue, Koji

AU - Takaki, Youichi

AU - Murayama, Sadayuki

AU - Hara, Nobuyuki

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N2 - Background: Bronchial artery embolization (BAE) is a well-accepted and widely used treatment modality for the management of massive and recurrent hemoptysis. However, few reports have previously investigated the long-term results. Objectives: To investigate the prognosis of patients with hemoptysis who had undergone BAE. Methods: Twenty-two patients with hemoptysis underwent BAE. The underlying diseases included bronchiectasis in 9, aspergillosis in 3, chronic bronchitis in 2, idiopathic bronchial bleeding in 4, and other diseases in 4. The follow-up period ranged from 25 to 88 months (median 47 months). Results: After the initial BAE, 11 of 22 (50%) patients had re- bleeding (5 patients with hemoptysis and 6 patients with minor hemosputa). Among them, 1 patient suffered from recurrent massive hemoptysis and died from airway obstruction within 1 month after BAE. In addition, 10 of these 11 (90.9%) patients experienced recurrent airway bleeding within 3 years after BAE. Recurrent cases of hemoptysis were seen in 6 of 22 patients (27.3%) within 3 years and no case recurred later than 3 years after BAE. A recurrence of hemoptysis was frequently seen in patients with either bronchiectasis or pulmonary-bronchial artery (P-B) shunt. Although BAE is an effective treatment for the immediate control of hemoptysis, 5 of the patients experienced recurrent bleeding in the long-term follow-up. Conclusions: It is important to follow-up such patients until 3 years after initial BAE, especially when either ectatic changes of the bronchi on a CT scan or a P-B shunt on angiographic findings are detected. Copyright (C) 2000 S. Karger AG, Basel.

AB - Background: Bronchial artery embolization (BAE) is a well-accepted and widely used treatment modality for the management of massive and recurrent hemoptysis. However, few reports have previously investigated the long-term results. Objectives: To investigate the prognosis of patients with hemoptysis who had undergone BAE. Methods: Twenty-two patients with hemoptysis underwent BAE. The underlying diseases included bronchiectasis in 9, aspergillosis in 3, chronic bronchitis in 2, idiopathic bronchial bleeding in 4, and other diseases in 4. The follow-up period ranged from 25 to 88 months (median 47 months). Results: After the initial BAE, 11 of 22 (50%) patients had re- bleeding (5 patients with hemoptysis and 6 patients with minor hemosputa). Among them, 1 patient suffered from recurrent massive hemoptysis and died from airway obstruction within 1 month after BAE. In addition, 10 of these 11 (90.9%) patients experienced recurrent airway bleeding within 3 years after BAE. Recurrent cases of hemoptysis were seen in 6 of 22 patients (27.3%) within 3 years and no case recurred later than 3 years after BAE. A recurrence of hemoptysis was frequently seen in patients with either bronchiectasis or pulmonary-bronchial artery (P-B) shunt. Although BAE is an effective treatment for the immediate control of hemoptysis, 5 of the patients experienced recurrent bleeding in the long-term follow-up. Conclusions: It is important to follow-up such patients until 3 years after initial BAE, especially when either ectatic changes of the bronchi on a CT scan or a P-B shunt on angiographic findings are detected. Copyright (C) 2000 S. Karger AG, Basel.

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