Miyano Yutaka, Kanzaki Masato, Obara Tetsuya, Onuki Takamasa
Department of Surgery, Tokyo Women's Medical University, Tokyo, Japan
Department of Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Asian Cardiovasc Thorac Ann. 2016 Jun;24(5):445-9. doi: 10.1177/0218492316643843. Epub 2016 Apr 11.
Bronchial artery embolization is considered a conservative form of therapy for hemoptysis. This study aimed to examine the short- and long-term effects of bronchial artery embolization, as well as the performance of the coils used in our hospital.
We reviewed the background, symptoms, findings, and prognosis of 27 cases of bronchial artery embolization for hemoptysis between April 2003 and October 2011. For embolization materials, short coils combined with a long interlocking detachable coil were mainly used from March 2008.
Aspergillosis and chronic empyema comprised the majority of cases. In terms of short-term results, there were 25 successful cases of bronchial artery embolization and 2 unsuccessful cases. Regarding the long-term outcome of the successful cases, during an average observation period of 17 months, one patient required repeat bronchial artery embolization, and one was admitted to another hospital with recurrent hemoptysis.
Bronchial artery embolization for hemoptysis was preformed in a safe and minimally invasive manner with positive results over both the short- and long-term, thus underscoring its utility as a form of treatment. Furthermore, by combining the use of long and short coils, we were able to reduce the number of coils necessary for the procedure, and thus reduce the time and cost involved.
支气管动脉栓塞术被认为是一种治疗咯血的保守疗法。本研究旨在探讨支气管动脉栓塞术的短期和长期效果，以及我院使用的栓塞弹簧圈的性能。
我们回顾了2003年4月至2011年10月期间27例因咯血接受支气管动脉栓塞术患者的背景、症状、检查结果及预后情况。对于栓塞材料，自2008年3月起主要使用短弹簧圈联合长的可锁定可分离弹簧圈。
曲霉菌病和慢性脓胸占大多数病例。就短期结果而言，支气管动脉栓塞术成功25例，失败2例。关于成功病例的长期结果，在平均17个月的观察期内，1例患者需要重复支气管动脉栓塞术，1例因咯血复发转至另一家医院。
咯血的支气管动脉栓塞术以安全且微创的方式进行，短期和长期效果均良好，从而突出了其作为一种治疗方式的实用性。此外，通过联合使用长、短弹簧圈，我们能够减少手术所需弹簧圈的数量，进而减少所涉及的时间和成本。
