Dorji Kinley, Hongsakul Keerati, Jutidamrongphan Warissara, Oofuvong Maliwan, Geater Sarayut
Prince of Songkla University, TH.
J Belg Soc Radiol. 2021 Feb 1;105(1):5. doi: 10.5334/jbsr.2310.
To determine the outcome and predictive factors of clinical success of bronchial artery embolization in life-threatening hemoptysis.
We reviewed all bronchial artery embolization procedures performed for life-threatening hemoptysis between January 2008 and December 2018. The outcomes and predictive factors of clinical success following embolization were evaluated.
One hundred and eighty-four bronchial artery embolization procedures performed in 145 patients were eligible for the study. The technical and clinical success rates of the procedures were 170/184 (92.4%) and 129/184 (70.1%), respectively. The unstable hemodynamics and prothrombin time/international normalized ratio >1.5 was associated with lower clinical success rate, while embolization of more than one vessel was associated with higher clinical success rate.
Bronchial artery embolization is a safe and effective procedure for controlling bleeding in life-threatening hemoptysis. However, low clinical success rate was noted in patients with unstable hemodynamics and coagulopathy, while multiple vessel embolization was associated with higher clinical success.
确定危及生命的咯血患者支气管动脉栓塞术临床成功的结果及预测因素。
我们回顾了2008年1月至2018年12月期间为危及生命的咯血患者进行的所有支气管动脉栓塞术。评估了栓塞术后临床成功的结果及预测因素。
145例患者接受了184次支气管动脉栓塞术，这些病例符合研究要求。手术的技术成功率和临床成功率分别为170/184（92.4%）和129/184（70.1%）。血流动力学不稳定和凝血酶原时间/国际标准化比值>1.5与较低的临床成功率相关，而栓塞多支血管与较高的临床成功率相关。
支气管动脉栓塞术是控制危及生命的咯血出血的一种安全有效的方法。然而，血流动力学不稳定和凝血功能障碍患者的临床成功率较低，而多支血管栓塞与较高的临床成功率相关。
