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Agmy GM, Wafy SM, Mohamed SAA, Gad YA, Mustafa H, Abd El-Aziz AES. Bronchial and Nonbronchial Systemic Artery Embolization in Management of Hemoptysis: Experience with 348 Patients. ISRN VASCULAR MEDICINE 2013; 2013:1-7. [DOI: 10.1155/2013/263259] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Background. We aimed to report our experience with bronchial artery embolization (BAE) in the management of moderate recurrent and/or life-threatening hemoptysis. Methods. We evaluated the demographics, clinical presentation, radiographic studies, short- and long-term efficacy, and complications in patients Who underwent BAE, at a tertiary university hospital, from 2003 to 2012. Results. Three hundred forty-one patients underwent BAE for the management of moderate recurrent or life-threatening hemoptysis. Pulmonary TB and bronchiectasis were the most common etiologies for hemoptysis in our locality. The most common angiographic signs for hemoptysis were hypervascularity and systemic-pulmonary artery shunt. BAE was successful in controlling hemoptysis immediately in 95% of patients and at 1 month in 90% of patients. Recurrence of hemoptysis was observed in 9.6% of patients, and reembolization was indicated in 85% of those cases. Complications of BAE were self-limited acute and subacute complications, while chronic complications were not recorded during this study. Conclusions. TB and bronchiectasis are the commonest etiologies for moderate recurrent or life-threatening hemoptysis in our locality. Hypervascular lesions from the bronchial arteries and nonbronchial systemic arteries represented the major vascular abnormalities. Bronchial and nonbronchial systemic artery embolizations were effective to control both acute and chronic hemoptyses, with no serious complications.
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Affiliation(s)
- Gamal M. Agmy
- Department of Chest Diseases, Faculty of Medicine, Assiut University, Assiut 71516, Egypt
| | - Safaa M. Wafy
- Department of Chest Diseases, Faculty of Medicine, Assiut University, Assiut 71516, Egypt
| | - Sherif A. A. Mohamed
- Department of Chest Diseases, Faculty of Medicine, Assiut University, Assiut 71516, Egypt
| | - Yaser A. Gad
- Department of Chest Diseases, Faculty of Medicine, Assiut University, Assiut 71516, Egypt
| | - Hisham Mustafa
- Department of Radiology, Faculty of Medicine, Assiut University, Assiut 71516, Egypt
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Chawla R, Madan A, Mehta D, Chawla K. Authors′ reply. Lung India 2010. [DOI: 10.4103/0970-2113.71982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Chawla RK, Madan A, Mehta D, Chawla K. Authors' reply. Lung India 2010; 27:265. [PMID: 21139738 PMCID: PMC2988192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Rakesh K. Chawla
- Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital, New Delhi, India. E-mail:
| | - Arun Madan
- Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital, New Delhi, India. E-mail:
| | - Dinesh Mehta
- Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital, New Delhi, India. E-mail:
| | - Kiran Chawla
- Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital, New Delhi, India. E-mail:
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