We investigated the efficacy and safety of bronchial artery embolization (BAE) using a 5F JL4 catheter in patients with hemoptysis and a bronchial artery opening in the inferior wall of the aortic arch.
Methods
This was a single-center retrospective study. Seventeen patients underwent BAE using 5F JL4. We then evaluated technical success (TS), clinical success (CS), incidence of complications, and hemoptysis recurrence rate (RR).
Results
The TS rate of microcatheter superselective catheterization and CS rate after surgery were 100%, and the incidence of severe complications and postoperative RR were 17.6%.
Conclusions
Bronchial artery embolization for hemoptysis with a BA opening in the inferior wall of the aortic arch using the 5F JL4 catheter could be a safe method. The short- and medium-term results were excellent.
FroodRKarthikSMirsadraeeS, et al.Bronchial artery embolisation for massive haemoptysis: Immediate and long-term outcomes-a retrospective study. Pulm Ther. 2020;6:107-117.
2.
ElhusseinyMMAbd-ElhafezSAMAmerTAYAli EidRESulimanLA-E. (Bronchial artery embolization in management of hemoptysis: Safety and efficacy. Egypt J Chest Dis Tuberc. 2017;66:723-728.
3.
García JuradoPBPérez MontillaMELombardo GaleraMSet al. Embolization of bronchial arteries and nonbronchial systemic arteries with n-butyl-cyanoacrylate in patients with hemoptysis: A retrospective single-center study. Radiologia (Engl Ed)2021.
4.
KucukayFTopcuogluOMAlparAAltayCMKucukayMBOzbulbulNI. Bronchial Artery embolization with large sized (700-900 microm) Tris-acryl microspheres (Embosphere) for massive Hemoptysis: Long-term results (clinical research). Cardiovasc Intervent Radiol. 2018;41:225-230.
5.
RémyJVoisinCDupuisC, et al.[Treatment of hemoptysis by embolization of the systemic circulation]. Ann Radiol. 1974;17:5-16.
6.
OmachiNIshikawaHHaraM, et al.The impact of bronchial artery embolisation on the quality of life of patients with haemoptysis: A prospective observational study. Eur Radiol. 2021;31:5351-5360.
7.
FartoukhMDemouleASanchezO, et al.Randomised trial of first-line bronchial artery embolisation for non-severe haemoptysis of mild abundance. BMJ Open Respir Res. 2021;8:e000949.
8.
FukayaTKasaiHNagataJSugiuraT. Haemoptysis due to an atypical right bronchial artery branching from the left subclavian artery evaluated by four-dimensional CT and bronchial arteriography. BMJ Case Rep. 2021;14:14.
9.
SariogluOCaparAEYavuzMYYuksel YavuzM. Belet U Angiographic Findings and Outcomes of Bronchial Artery Embolization in Patients with Pulmonary Tuberculosis. Eurasian J Med. 2020;52:126-131.
SismanlarTAslanATAkkanKCindilEOnalBOzcanB. Successful embolization in childhood hemoptysis due to abnormal systemic arterial bleeding of the lung and review of the literature. Clin Respir J. 2016;10:693-697.
12.
WalkerCMRosado-de-ChristensonMLMartinez-JimenezSKuninJR. Wible BC Bronchial arteries: Anatomy, function, hypertrophy, and anomalies. Radiographics. 2015;35:32-49.
13.
PeyratEChabbertVEscamillaRSaadaJDeganoB. Idiopathic hemoptysis in pregnant women: A distinct entity?Respir Med. 2007;101:2221-2223.
14.
AngileriSARodaGMArrichielloA, et al.Efficacy, safety and usability of bronchial artery embolization using a new anti-reflux microcatheter in the management of haemoptysis. Acta Biomed. 2020;91:e2020009.
15.
MichimotoKTakenagaSMatsuiY, et al.Ectopic origin of bronchial arteries: Still a potential pitfall in embolization. Surg Radiol Anat. 2020;42:1293-1298.
16.
JiangSSunXWYuDJieB. Endovascular embolization of bronchial artery originating from the upper portion of aortic arch in patients with massive hemoptysis. Cardiovasc Intervent Radiol. 2014;37:94-100.
17.
KhalilzadehOBaerlocherMOShynPB, et al.Proposal of a new adverse event classification by the society of interventional radiology standards of practice committee. J Vasc Intervent Radiol. 2017;28:1432-1437.
18.
Cody O’DellMGillAEHawkinsCM. Bronchial artery embolization for the treatment of acute hemoptysis. Tech Vasc Intervent Radiol. 2017;20:263-265.
19.
HanKYoonKWKimJHKimGM. Bronchial artery embolization for hemoptysis in primary lung cancer: A retrospective review of 84 patients. J Vasc Intervent Radiol. 2019;30:428-434.
20.
MahlaHKunalSSharmaSKMahlaRJainA. Bronchial artery embolization: A gratifying life-saving procedure. Indian J Tubercul. 2021;68:40-50.
21.
IttrichHKloseHAdamG. Radiologic management of haemoptysis: diagnostic and interventional bronchial arterial embolisation. Röfo. 2015;187:248-259.
22.
HartmannIJRemy-JardinMMenchiniLTeisseireAKhalilC. Ectopic origin of bronchial arteries: assessment with multidetector helical CT angiography. Eur Radiol. 2007;17:1943-1953.
23.
AshikagaTYoshikawaSKuriharaKIsobeM. Efficacy of mother-child-grandchild technique: 4F and 5F inner catheters through mother guide catheter. Cardiovasc Revasc Med. 2014;15:244-247.
24.
PandaABhallaASGoyalA. Bronchial artery embolization in hemoptysis: a systematic review. Diagn Interv Radiol. 2017;23:307-317.
