Bronchial Artery Embolization Due to Hemoptysis; is it Really Effective?
1Health Sciences University, Dr. Suat Seren Chest Disease and Surgery Training and Research Hospital, İzmir, Turkey
2Health Sciences University, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
J Clin Pract Res 2021; 43(3): 288-292 DOI: 10.14744/etd.2020.93271
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Abstract

Objective: We aimed to evaluate retrospectively the data of patients undergoing bronchial artery embolizatıon (BAE) for massive or non-massive hemoptysis in our clinic and discussed with the literature.
Materials and Methods: We retrospectively evaluated patients with acute severe or chronic recurrent hemoptysis admitted to the pulmonology department and submitted to BAE for the purpose of embolization.
Results: A total of 52 patients were submitted to BAE, 41 (78.8%) were male, with a mean age 53.7±14.8 years. Hemoptysis was considered severe in 22 (42.3%) patients. Bronchiectasis (other than cystic fibrosis) (n=12; 23.1%) and tuberculosis (TB) sequelae (n=11; 21.2) were the major etiology for hemoptysis. None of our patients developed early or late complications related to the procedure. Hemoptysis recurred in five patients at 12-month follow-up of each patient. There was no significant difference between the amount of hemoptysis and the presence of lesion on computed tomography, active bleeding on bronchoscopy or recurrence.
Conclusion: Bronchiectasis (except those associated with cystic fibrosis), TB, and TB sequelae were the major etiologies for hemoptysis. Our results show that BAE is a safe and effective treatment supporting the current literature for acute massive and chronic recurrent hemoptysis.