Treatment of Acute Hemoptysis by Bronchial Artery Embolization with the Liquid Embolic Agent Ethylene Vinyl Alcohol Copolymer

Ayx, Isabelle and Muller-Wille, Rene and Wohlgemuth, Walter A. and Pfeifer, Michael and Lepiorz, Marc and Hubauer, Heinrich and Goessmann, Holger and Stroszczynski, Christian and Zorger, Niels (2017) Treatment of Acute Hemoptysis by Bronchial Artery Embolization with the Liquid Embolic Agent Ethylene Vinyl Alcohol Copolymer. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 28 (6). pp. 825-831. ISSN 1051-0443, 1535-7732

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Abstract

Purpose: To determine the technical and clinical success of bronchial artery embolization (BAB) with the liquid embolic agent ethylene vinyl alcohol (EVOH) copolymer in patients with acute hemoptysis. Materials and Methods: Thirty-four patients (25 male; mean age, 58 y; range, 13-78 y) who underwent BAE with EVOH were retrospectively reviewed. Reasons for acute hemoptysis included lung cancer (44%), pulmonary metastases (12%), bronchiectasis (21%), arteriovenous malformation (5%), tuberculosis (6%), aspergilloma (3%), acute respiratory distress syndrome (3%), anticoagulant overdose (3%), and scar tissue (3%). Technical and clinical success of BAE were retrospectively assessed. Results: Embolization was technically successful in 94% of patients. Additional embolization material was needed in 4 patients (12%). The immediate clinical success rate was 94% (32 of 34); in 2 patients (6%), hemoptysis recurred immediately after the intervention or could not be stopped. Periinterventional minor complications included headache (n = 1), fever (n = 1), and acute renal failure (n = 1). During follow-up (mean, 8.8 mo), 5 patients had a recurrence of hemoptysis (15%). Conclusions: The use of EVOH copolymer for BAE in patients with acute hemoptysis is technically successful and safe and has a good clinical outcome with a low number of recurrences.

Item Type: Article
Uncontrolled Keywords: TRIS-ACRYL MICROSPHERES;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Dec 2018 13:10
Last Modified: 19 Feb 2019 10:46
URI: https://pred.uni-regensburg.de/id/eprint/774

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