scholarly journals The effectiveness of bronchial artery embolisation in patients with haemoptysis

2018 ◽  
Vol 86 (5) ◽  
pp. 220-226 ◽  
Author(s):  
Daria Magdalena Springer ◽  
Szczepan Cofta ◽  
Robert Juszkat ◽  
Bartosz Żabicki ◽  
Joanna Goździk-Spychalska ◽  
...  
Keyword(s):  
Bronchial Artery ◽  
Bronchial Artery Embolisation

scholarly journals The impact of bronchial artery embolisation on the quality of life of patients with haemoptysis: a prospective observational study

2021 ◽  
Author(s):  
Naoki Omachi ◽  
Hideo Ishikawa ◽  
Masahiko Hara ◽  
Takashi Nishihara ◽  
Yu Yamaguchi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Survival Rate ◽  
Bronchial Artery ◽  
Recurrence Free Survival ◽  
Free Survival ◽  
Kaplan Meier ◽  
Procedural Success ◽  
Bronchial Artery Embolisation ◽  
The Impact

Abstract Objectives Patients with haemoptysis often experience daily physical and mental impairment. Bronchial artery embolisation is among the first-line treatment options used worldwide; however, no evidence exists regarding the health-related quality of life (HRQoL) after bronchial artery embolisation. Therefore, this study aimed to evaluate the effects of bronchial artery embolisation on the HRQoL of patients with haemoptysis. Methods We prospectively enrolled 61 consecutive patients who visited our hospital from July 2017 to August 2018 and received bronchial artery embolisation for haemoptysis. The primary outcome was the HRQoL evaluated using the Short Form Health Survey, which contains physical and mental components, before and after bronchial artery embolisation. The secondary outcomes were procedural success, complications, and recurrence-free survival rate at 6 months. Results The mean age of the patients was 69 years (range, 31–87 years). The procedural success rate was 98%. No major complications occurred. The recurrence-free survival rate estimated using the Kaplan-Meier analysis at 6 months after bronchial artery embolisation was 91.8% (95% confidence interval, 91.1–92.5%). Compared with the pre-treatment scores, the physical and mental scores were significantly improved at 6 months after bronchial artery embolisation (p < 0.05). Conclusion Bronchial artery embolisation improved the HRQoL of patients with haemoptysis. Key Points • Bronchial artery embolisation improved the HRQoL of patients with haemoptysis. • Vessel dilation on computed tomography and systemic artery-pulmonary artery direct shunting on angiography were the most common abnormalities. • The recurrence-free survival rate estimated using the Kaplan-Meier analysis at 6 months after bronchial artery embolisation was 91.8%.

Outcomes Following Bronchial Artery Embolisation for Haemoptysis in Cystic Fibrosis

2017 ◽  
Vol 40 (8) ◽  
pp. 1164-1168 ◽  
Author(s):  
W. G. Flight ◽  
P. J. Barry ◽  
R. J. Bright-Thomas ◽  
S. Butterfield ◽  
R. Ashleigh ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Bronchial Artery ◽  
Bronchial Artery Embolisation

scholarly journals Randomised trial of first-line bronchial artery embolisation for non-severe haemoptysis of mild abundance

2021 ◽  
Vol 8 (1) ◽  
pp. e000949
Author(s):  
Muriel Fartoukh ◽  
Alexandre Demoule ◽  
Olivier Sanchez ◽  
Sophie Tuffet ◽  
Emmanuel Bergot ◽  
...  
Keyword(s):  
Adverse Events ◽  
Medical Therapy ◽  
Bronchial Artery ◽  
Research Question ◽  
Randomised Trial ◽  
Survival Rates ◽  
Comorbid Condition ◽  
First Line ◽  
Open Label ◽  
Bronchial Artery Embolisation

BackgroundWhereas first-line bronchial artery embolisation (BAE) is considered standard of care for the management of severe haemoptysis, it is unknown whether this approach is warranted for non-severe haemoptysis.Research questionTo assess the efficacy on bleeding control and the safety of first-line BAE in non-severe haemoptysis of mild abundance.Study design and methodsThis multicentre, randomised controlled open-label trial enrolled adult patients without major comorbid condition and having mild haemoptysis (onset <72 hours, 100–200 mL estimated bleeding amount), related to a systemic arterial mechanism. Patients were randomly assigned (1:1) to BAE associated with medical therapy or to medical therapy alone.ResultsBleeding recurrence at day 30 after randomisation (primary outcome) occurred in 4 (11.8%) of 34 patients in the BAE strategy and 17 (44.7%) of 38 patients in the medical strategy (difference −33%; 95% CI −13.8% to −52.1%, p=0.002). The 90-day bleeding recurrence-free survival rates were 91.2% (95% CI 75.1% to 97.1%) and 60.2% (95% CI 42.9% to 73.8%), respectively (HR=0.19, 95% CI 0.05 to 0.67, p=0.01). No death occurred during follow-up and no bleeding recurrence needed surgery.Four adverse events (one major with systemic emboli) occurred during hospitalisation, all in the BAE strategy (11.8% vs 0%; difference 11.8%, 95% CI 0.9 to 22.6, p=0.045); all eventually resolved.ConclusionIn non-severe haemoptysis of mild abundance, BAE associated with medical therapy had a superior efficacy for preventing bleeding recurrences at 30 and 90 days, as compared with medical therapy alone. However, it was associated with a higher rate of adverse events.Trial registration numberNCT01278199

scholarly journals A tale of two embolisations

2013 ◽  
Vol 17 (2) ◽  
pp. 68-69
Author(s):  
Matthys Johannes Van Wyk ◽  
E Loggenberg
Keyword(s):  
Pulmonary Tuberculosis ◽  
Pulmonary Artery ◽  
Bronchial Artery ◽  
Coil Embolisation ◽  
Massive Haemoptysis ◽  
Recurrent Haemoptysis ◽  
Bronchial Artery Embolisation ◽  
Recurrent Haemorrhage

Chronic pulmonary tuberculosis may present as massive haemoptysis. Haemoptysis usually originates from the bronchial artery but the pulmonary artery might be the culprit vessel in recurrent haemoptysis. We present a case where bronchial artery embolisation had to be augmented by pulmonary artery coil embolisation for a Rasmussen's aneurysm after recurrent haemoptysis. In cases where recurrent haemorrhage occurs, sources other than the bronchial artery should be considered.

scholarly journals Bronchial Artery Embolisation for Massive Haemoptysis: Immediate and Long-Term Outcomes—A Retrospective Study

2020 ◽  
Vol 6 (1) ◽  
pp. 107-117
Author(s):  
Russell Frood ◽  
Shishir Karthik ◽  
Saeed Mirsadraee ◽  
Ian Clifton ◽  
Karen Flood ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bronchial Artery ◽  
Long Term Outcomes ◽  
Massive Haemoptysis ◽  
Bronchial Artery Embolisation

scholarly journals Audit of bronchial artery embolisation in a specialist respiratory centre.

1992 ◽  
Vol 1 (2) ◽  
pp. 94-97 ◽  
Author(s):  
D C Currie ◽  
C M Prendergast ◽  
M C Pearson
Keyword(s):  
Bronchial Artery ◽  
Respiratory Centre ◽  
Bronchial Artery Embolisation
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