Journal article
Bronchial artery embolization in hemoptysis: a systematic review
Diagnostic and interventional radiology (Ankara, Turkey), Vol.23(4), pp.307-317
07/01/2017
DOI: 10.5152/dir.2017.16454
PMCID: PMC5508955
PMID: 28703105
Abstract
We systematically reviewed the role of bronchial artery embolization (BAE) in hemoptysis. Literature search was done for studies on BAE published between 1976 and 2016. Twenty-two studies published in English, with sample size of at least 50 patients, reporting indications, technique, efficacy, and follow-up were included in the final analysis. Common indications for BAE included tuberculosis (TB), post-tubercular sequelae, bronchiectasis, and aspergillomas. Most common embolizing agent used was polyvinyl alcohol (size, 300-600 mu m) with increasing use of glue in recent years. Overall immediate clinical success rate of BAE, defined as complete cessation of hemoptysis, varied from 70%-99%. However, recurrence rate remains high, ranging from 10%-57%, due to incomplete initial embolization, recanalization of previously embolized arteries, and recruitment of new collaterals. Presence of nonbronchial systemic collaterals, bronchopulmonary shunting, aspergillomas, reactivation TB, and multidrug resistant TB were associated with significantly higher recurrence rates (P < 0.05). Rate of major complications remained negligible and stable over time with median incidence of 0.1% (0%-6.6%). Despite high hemoptysis recurrence rates, BAE continues to be the first-line, minimally invasive treatment of hemoptysis in emergency settings, surgically unfit patients, or in patients with diffuse or bilateral lung disease.
Details
- Title: Subtitle
- Bronchial artery embolization in hemoptysis: a systematic review
- Creators
- Ananya Panda - All India Institute of Medical SciencesAshu Seith Bhalla - All India Institute of Medical SciencesAnkur Goyal - All India Institute of Medical Sciences
- Resource Type
- Journal article
- Publication Details
- Diagnostic and interventional radiology (Ankara, Turkey), Vol.23(4), pp.307-317
- Publisher
- Aves
- DOI
- 10.5152/dir.2017.16454
- PMID
- 28703105
- PMCID
- PMC5508955
- ISSN
- 1305-3612
- eISSN
- 1305-3612
- Number of pages
- 11
- Language
- English
- Date published
- 07/01/2017
- Academic Unit
- Radiology
- Record Identifier
- 9984697638002771
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