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Bronchial Artery Embolization Procedure for Treatment of Hemoptysis Caused by Cavitary Lung Lesions

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Last updated: 03 Jan 2025

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Abstract

Background: Embolizationofthe bronchial artery is one of the non-surgical successful measures to treat hemoptysis without surgery. Aim of the Work: To evaluate the technique, efficacy, and safety of Bronchial Artery Embolization (BAE) in patients with hemoptysis due to cavitary lung lesions. Patients and Methods: This study was a reconstructive (retrospective and prospective) cohort study and included 20 candidates who presented with hemoptysis due to cavitary lung lesions and were refractory to the supportive treatment measures during the period between March 2021 and September 2021. The study population was referred from the Chest Department to Interventional Radiology Unit, at Ain Shams University Hospitals. Results: Massive hemoptysis was seen in 15 patients and recurrent mild-moderate in 5 patients. On imaging, cavitary lesions were seen on the left side in 8 patients, the right side in 8 patients, and bilateral involvement in 4 patients. Bronchiectatic changes were the predominant pathology seen in 6 patients. Immediate success was achieved in 20 patients, while recurrence within one month was noted in 4 patients. 13 patients reported experiencing minor problems like chest pain, but no serious ones like spinal cord ischemia. Conclusion: When a patient has hemoptysis, BAE is a standard technique that is both safe and effective with a very low complication rate.  

DOI

10.21608/ejhm.2023.286432

Keywords

Computed tomography, Hemoptysis, Bronchial artery embolization, Trans-arterial Embolization

Authors

First Name

Ahmed Mostafa

Last Name

Mohamed

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City

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Orcid

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First Name

Ahmed

Last Name

El Shimy

MiddleName

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Affiliation

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Email

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First Name

Norhan Abozeid Ahmed

Last Name

Abdelaziz

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Affiliation

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Email

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City

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Orcid

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First Name

Nourhan Mohammed Hossam

Last Name

El-Din

MiddleName

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Affiliation

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Email

nor_hossam23@yahoo.com

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Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-02-19

Publish Date

2023-01-01

Page Start

2,701

Page End

2,708

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_286432.html

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https://ejhm.journals.ekb.eg/service?article_code=286432

Order

107

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Bronchial Artery Embolization Procedure for Treatment of Hemoptysis Caused by Cavitary Lung Lesions

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Article

Created At

24 Dec 2024