Long-term outcomes of the bronchial artery embolization are diagnosis dependent
Background: Bronchial artery embolization (BAE) is an established, safe, and effective procedure for the treatment of hemoptysis but long-term outcomes of the BAE have never been investigated before. Objectives: To retrospectively analyze long-term outcomes of the BAE. Materials and Methods: A retro...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Lung India |
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| Online Access: | http://www.lungindia.com/article.asp?issn=0970-2113;year=2016;volume=33;issue=1;spage=3;epage=8;aulast=Pathak |
| _version_ | 1818174760758018048 |
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| author | Vikas Pathak Joseph M Stavas Hubert J Ford Charles A Austin Robert M Aris |
| author_facet | Vikas Pathak Joseph M Stavas Hubert J Ford Charles A Austin Robert M Aris |
| author_sort | Vikas Pathak |
| collection | DOAJ |
| description | Background: Bronchial artery embolization (BAE) is an established, safe, and effective procedure for the treatment of hemoptysis but long-term outcomes of the BAE have never been investigated before. Objectives: To retrospectively analyze long-term outcomes of the BAE. Materials and Methods: A retrospective chart analysis was done from the hospital central database for all patients undergoing the BAE over a consecutive 14-year period (January 2000-February 2014). A total of 58 patients were identified from the database. Eight patients were excluded due to the lack of follow-up. Data such as patient demographics, reason for hemoptysis, medical imaging results, bronchoscopy findings, recurrence rates, and morbidity/mortality rates after the BAE were collected. Results: Eighty three embolizations were performed in 50 patients. The median follow-up was of 2.2 years. Cystic fibrosis (CF) bronchiectasis was the most common etiology (21/50), followed by non-CF bronchiectasis (9/50). Cavitary lung disease occurred in 12/50 patients, an additional 4/50 had cancer (primary lung and metastatic), and one patient had antineutrophil cytoplasmic antibody (ANCA) vasculitis. In three patients the etiology was unknown. Postprocedural complications occurred in 5/83 (6%) patients, two patients with two major complications - stroke (one) and paraplegia (one) - and three patients with minor complications - chest pain (two) and bronchial artery dissection (one). A total of 15/50 patients died during the follow-up. Three patients died of hemoptysis, and the remaining deaths were unrelated to the procedure or hemoptysis. Twenty four patients had recurrent hemoptysis. A Kaplan-Meier analysis revealed an excellent long-term survival that was 85% at 10 years. Conclusions: The BAE is a safe and effective procedure with excellent overall long-term survival. |
| first_indexed | 2024-12-11T19:49:32Z |
| format | Article |
| id | doaj.art-8dd569a72541406f85b907108bbb624b |
| institution | Directory Open Access Journal |
| issn | 0970-2113 0974-598X |
| language | English |
| last_indexed | 2024-12-11T19:49:32Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Lung India |
| spelling | doaj.art-8dd569a72541406f85b907108bbb624b2022-12-22T00:52:49ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2016-01-013313810.4103/0970-2113.173059Long-term outcomes of the bronchial artery embolization are diagnosis dependentVikas PathakJoseph M StavasHubert J FordCharles A AustinRobert M ArisBackground: Bronchial artery embolization (BAE) is an established, safe, and effective procedure for the treatment of hemoptysis but long-term outcomes of the BAE have never been investigated before. Objectives: To retrospectively analyze long-term outcomes of the BAE. Materials and Methods: A retrospective chart analysis was done from the hospital central database for all patients undergoing the BAE over a consecutive 14-year period (January 2000-February 2014). A total of 58 patients were identified from the database. Eight patients were excluded due to the lack of follow-up. Data such as patient demographics, reason for hemoptysis, medical imaging results, bronchoscopy findings, recurrence rates, and morbidity/mortality rates after the BAE were collected. Results: Eighty three embolizations were performed in 50 patients. The median follow-up was of 2.2 years. Cystic fibrosis (CF) bronchiectasis was the most common etiology (21/50), followed by non-CF bronchiectasis (9/50). Cavitary lung disease occurred in 12/50 patients, an additional 4/50 had cancer (primary lung and metastatic), and one patient had antineutrophil cytoplasmic antibody (ANCA) vasculitis. In three patients the etiology was unknown. Postprocedural complications occurred in 5/83 (6%) patients, two patients with two major complications - stroke (one) and paraplegia (one) - and three patients with minor complications - chest pain (two) and bronchial artery dissection (one). A total of 15/50 patients died during the follow-up. Three patients died of hemoptysis, and the remaining deaths were unrelated to the procedure or hemoptysis. Twenty four patients had recurrent hemoptysis. A Kaplan-Meier analysis revealed an excellent long-term survival that was 85% at 10 years. Conclusions: The BAE is a safe and effective procedure with excellent overall long-term survival.http://www.lungindia.com/article.asp?issn=0970-2113;year=2016;volume=33;issue=1;spage=3;epage=8;aulast=PathakBronchial artery embolizationcavitary lung diseasecystic fibrosishemoptysis |
| spellingShingle | Vikas Pathak Joseph M Stavas Hubert J Ford Charles A Austin Robert M Aris Long-term outcomes of the bronchial artery embolization are diagnosis dependent Lung India Bronchial artery embolization cavitary lung disease cystic fibrosis hemoptysis |
| title | Long-term outcomes of the bronchial artery embolization are diagnosis dependent |
| title_full | Long-term outcomes of the bronchial artery embolization are diagnosis dependent |
| title_fullStr | Long-term outcomes of the bronchial artery embolization are diagnosis dependent |
| title_full_unstemmed | Long-term outcomes of the bronchial artery embolization are diagnosis dependent |
| title_short | Long-term outcomes of the bronchial artery embolization are diagnosis dependent |
| title_sort | long term outcomes of the bronchial artery embolization are diagnosis dependent |
| topic | Bronchial artery embolization cavitary lung disease cystic fibrosis hemoptysis |
| url | http://www.lungindia.com/article.asp?issn=0970-2113;year=2016;volume=33;issue=1;spage=3;epage=8;aulast=Pathak |
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