Document Detail


Bronchial artery and systemic artery embolization in the management of primary lung cancer patients with hemoptysis.
MedLine Citation:
PMID:  17468904     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess the safety and effectiveness of arterial embolization in lung cancer patients with hemoptysis. METHODS: Nineteen primary lung cancer patients with hemoptysis underwent bronchial artery and systemic artery embolization from April 2002 to March 2005. There were 17 men and 2 women, with a mean age of 59 years. Histologic analysis revealed squamous cell carcinoma in 10 patients and poorly differentiated adenocarcinoma in 9 patients. The amount of hemoptysis was bleeding of 25-50 ml within 24 hr in 8 patients, recurrent blood-tinged sputum in 6, and bleeding of 100 ml or more per 24 hr in 5. Embolization was done with a superselective technique using a microcatheter and polyvinyl alcohol particles to occlude the affected vessels. RESULTS: Arterial embolization was technically successful in all patients and clinically successful in 15 patients (79%). The average number of arteries embolized was 1.2. Bronchial arteriography revealed staining (all patients), dilatation of the artery or hypervascularity (10 patients), and bronchopulmonary shunt (6 patients). The recurrence rate was 33% (5/15) and 11 patients were alive with a mean follow-up time of 148 days (30-349 days). CONCLUSION: Arterial embolotherapy for hemoptysis in patients with primary lung cancer is an effective, safe therapeutic modality despite the fact the vascular changes are subtle on angiography.
Authors:
Hong Suk Park; Young Il Kim; Hyae Young Kim; Jae-Ill Zo; Joo Hyuk Lee; Jin Soo Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  30     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2007 Jul-Aug
Date Detail:
Created Date:  2007-08-16     Completed Date:  2007-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  638-43     Citation Subset:  IM    
Affiliation:
Research Institute and Hospital, National Cancer Center Korea, Ilsan-gu, Goyang-si, Gyeonggi-do, 411-764, Korea. hpark@ncc.re.kr
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / blood supply*,  mortality,  radiography,  therapy*
Adult
Aged
Angiography, Digital Subtraction
Bronchi / blood supply*
Bronchoscopy
Carcinoma, Squamous Cell / blood supply*,  mortality,  radiography,  therapy*
Embolization, Therapeutic*
Female
Hemoptysis / mortality,  radiography,  therapy*
Hospital Mortality
Humans
Lung Neoplasms / blood supply*,  mortality,  radiography,  therapy*
Male
Middle Aged
Retrospective Studies
Survival Analysis
Thoracic Arteries* / radiography
Tomography, X-Ray Computed
Treatment Outcome

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