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Date Published: 08/07/2022
Online Published: 08/07/2022
Abstract Views: 169
Views PDF: 132
DOI: https://doi.org/10.55046/vjrnm.31.544.2018
Issue
No. 31 (2018)
Section
Scientific research
How to Cite
Nguyen, V. T. B., & Le, V. P. (2022). The role of endovascular treatment for massive hemoptysis. Vietnamese Journal of Radiology and Nuclear Medicine, 31, 67-72. https://doi.org/10.55046/vjrnm.31.544.2018

The role of endovascular treatment for massive hemoptysis

Dr Nguyen Van Tien Bao1, Dr Le Van Phuoc1
1 Department of Diagnostic Imaging- Cho Ray Hospital

Main Article Content

Abstract

Objectives: To assess the safety and effectiveness of arterial embolization in patients with massive hemoptysis.
Subjects and Method: All patients were diagnosed massive hemoptysis and treated endovascular intervention in Cho Ray Hospital from January 2016 to March 2017. Some variants were asscessed: etiologies, important angiographics findings, the clinical success, complications and follow-up outcomes within 1 month.
Results: 35 patients were treated by endovascular intervention. Massive hemoptysis was caused by bronchiectasis (37,1%), pulmonary tuberculosis (20%), pulmonary aspergilloma 14.3%). A total of 69 bleeding arteries were found, an average of
four arteries per patient. Important angiographics findings were: vascular hypertrophy and tortuosity (80,0%), neovascularity
and hypervascularity (85,7%), shunting (25,7%), aneurysm formation (8,5%) and active extravasation (5,7%). Immediate
clinical success achieved was 97,1% (34/35 patients) and 11,7% of patients had recurrent over 1 month; aspergilloma and
shunting were asociated with early recurrent (p<0,05). No serve complications were reported and the most common complication was trasient chest pain (28,6%). 
Conclusion: Endovascular treament is an effective and safe procedure in the management of massive hemoptysis.

Article Details

Keywords

massive hemoptysis, embolized arteries, clinical success,, early recurrent.

References

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