ISSN: 1859 - 2872
Results of hemoptysis treatment using the selective bronchial artery embolization technique at 175 Military Hospital
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Abstract
Objective: To evaluate the effectiveness of hemoptysis treatment through selective bronchial artery embolization (BAE) at 175 Military Hospital. Subject and method: This prospective, interventional study included 32 patients with hemoptysis who underwent BAE at the Department of Tuberculosis - Lung Disease, 175 Military Hospital, between January 2019 and April 2023. Result: Severe hemoptysis was observed in 62.5% of the patients. The underlying causes were bronchiectasis in 50% and pulmonary tuberculosis in 41% of cases. The bronchial artery was identified as the culprit artery in 96.9% of the patients, with imaging showing increased vascularity in 90.6% and drug extravasation in 84.4% of cases. BAE was performed on one branch of the bronchial artery in 78.1% of patients, while 15.6% required embolization of two branches. Within 24 hours post-intervention, 75% of patients had no further hemoptysis, and 90.6% were stable and discharged. The recurrence rate of hemoptysis within three months was 6.2%, all of which were mild cases managed successfully with outpatient treatment. Conclusion: Selective bronchial artery embolization is a safe and effective technique for treating hemoptysis and preventing its recurrence, particularly in severe cases.
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References
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