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The Factors Related to Recurrence after Transcatheter Arterial Embolization for the Treatment of Hemoptysis

Kim, Ki Joong    (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea   ); Yoo, Jee Hong    (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea   ); Sung, Nak Cheon    (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea   ); Won, Hyun Sang    (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea   ); Yoou, Ki Heon    (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea   ); Kang, Hong Mo    (Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul Korea  );
  • 초록

    Objectives Massive hemoptysis is a major clinical problem associated with high morbidity and mortality. Transcatheter arterial embolization is widely used for the treatment of massive hemoptysis, but it was reported that the recurrence rate after embolization is 12–54% in the previous studies. We evaluated the therapeutic effect of transcatheter arterial embolization for the treatment of massive hemoptysis and the factors related to recurrence. Methods We reviewed 51 patients (M:F=36:15) of trancatheter arterial embolization for the treatment of massive hemoptysis from Jan 1988 to Dec 1994, retrospectively. Results After arterial embolization, immediate successful control ( 400ml/24hr) or frequent history of hemoptysis had increased tendency of recurrence (87.5%, 72.7%). Conclusion Transcatheter arterial embolization is a useful and safe procedure for immediate control in massive hemoptysis. However, the patients with this procedure had a potentiality for recurrence. We suggest that close follow-up and caution will be needed in the patients with multiple artery bleeding or with large amounts of hemoptysis or with previous episodes more than 3 times.


  • 주제어

    Bronchial artery embolization .   Massive hemoptysis.  

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