Lu G-D, Zu Q-Q, Liu X-L, Wang B, Zhou C-G, Xia J-G, Liu S, Shi H-B
Department of Interventional Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Int J Tuberc Lung Dis. 2016 Feb;20(2):276-81. doi: 10.5588/ijtld.15.0078.
Tertiary referral centre.
To retrospectively observe the characteristics of bronchial angiograms in the setting of systemic artery-pulmonary circulation shunts (SPS), and to evaluate the safety and effectiveness of bronchial artery embolisation (BAE) for these patients with life-threatening haemoptysis.
The records of life-threatening haemoptysis patients with SPS who presented to a tertiary referral centre from January 2009 to March 2014 were reviewed.
SPS consisted of bronchial artery-pulmonary artery shunt (AAS) in 30 cases, bronchial artery-pulmonary vein shunt (AVS) in 4 cases, non-bronchial systemic artery-pulmonary circulation shunt (n-BPS) in 7 cases and more than one type of SPS in 4 cases (AAS and AVS in 3 cases, three types of SPS in 1 case). BAE using polyvinyl alcohol (PVA) was successful in 97.8% (44/45) of the patients. Cumulative rates of freedom from recurrence at 1 month, 1 year and 2 years were respectively 97.8%, 93.2% and 85.4%. No major procedure-related complications occurred. No significant differences were found in recurrence rates or cumulative haemoptysis control rates among patients with different types of SPS complications (P = 0.55 and 0.46, respectively).
BAE with PVA was safe and effective for life-threatening haemoptysis complicated by SPS.
三级转诊中心。
回顾性观察体循环-肺循环分流（SPS）情况下支气管血管造影的特征，并评估支气管动脉栓塞术（BAE）对这些危及生命咯血患者的安全性和有效性。
回顾2009年1月至2014年3月在三级转诊中心就诊的伴有SPS的危及生命咯血患者的记录。
SPS包括30例支气管动脉-肺动脉分流（AAS）、4例支气管动脉-肺静脉分流（AVS）、7例非支气管体循环-肺循环分流（n-BPS）以及4例不止一种类型的SPS（3例为AAS和AVS，1例为三种类型的SPS）。使用聚乙烯醇（PVA）进行的BAE在97.8%（44/45）的患者中取得成功。1个月、1年和2年的无复发累积率分别为97.8%、93.2%和85.4%。未发生重大的与手术相关的并发症。不同类型SPS并发症患者的复发率或累积咯血控制率之间未发现显著差异（P值分别为0.55和0.46）。
PVA栓塞术对SPS合并的危及生命咯血安全有效。
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