Takeuchi H, Matsumoto T, Morimoto K, Atsumi J, Yamamoto S, Nakagawa T, Yamada S, Kurosaki A, Shiraishi Y, Hasebe T
Department of Diagnostic Radiology, Fukujuji Hospital, Japan Anti-Tuberculosis Association (JATA), Tokyo, Japan.
Kochi Medical School, Kochi University, Kochi, Japan, Department of Radiology, Tokai University Hachioji Hospital, Tokai University School of Medicine, Tokyo, Japan.
Int J Tuberc Lung Dis. 2021 Sep 1;25(9):725-731. doi: 10.5588/ijtld.21.0028.
To retrospectively evaluate the clinical outcomes of pre-operative endovascular coil embolisation (ECE) for chronic pulmonary aspergillosis (CPA). We evaluated surgical patients with CPA between November 2016 and April 2020. Pre-operative ECE for CPA with severe adhesions was selectively performed to reduce intra-operative blood loss. ECE procedures, operative procedures, intra-operative blood loss and complications were evaluated. Twenty-eight patients (21 males and 7 females; median age: 55 years) were included in the study. Of the 28 patients, 8 (28.6%) underwent pre-operative ECE. Technical success rate in pre-operative ECE was 100%. The median time required for ECE procedures was 123 min. The median number of vessels embolised per procedure was 2.5. The median period between embolisation and surgery was 5 days. Major complications were observed in three patients (10.7%). There were no significant differences between patients with and without pre-operative ECE in operative time (284 vs. 365 min, respectively, = 0.7602) and intra-operative blood loss (294 vs. 228 mL, respectively, = 0.8987). Pre-operative ECE for CPA appears to be feasible and safe; however, its role in reducing intra-operative blood loss needs further investigation.
回顾性评估术前血管内弹簧圈栓塞术（ECE）治疗慢性肺曲霉病（CPA）的临床疗效。我们评估了2016年11月至2020年4月期间接受手术治疗的CPA患者。对于粘连严重的CPA患者，选择性地进行术前ECE以减少术中失血。评估了ECE手术、手术过程、术中失血和并发症。28例患者（21例男性和7例女性；中位年龄：55岁）纳入研究。28例患者中，8例（28.6%）接受了术前ECE。术前ECE的技术成功率为100%。ECE手术所需的中位时间为123分钟。每次手术栓塞血管的中位数量为2.5条。栓塞与手术之间的中位间隔时间为5天。3例患者（10.7%）出现了主要并发症。术前接受ECE和未接受ECE的患者在手术时间（分别为284分钟和365分钟，P = 0.7602）和术中失血（分别为294毫升和228毫升，P = 0.8987）方面无显著差异。术前ECE治疗CPA似乎是可行且安全的；然而，其在减少术中失血方面的作用需要进一步研究。
