Bronchial and non-bronchial systemic artery embolization with transradial access in patients with hemoptysis
PURPOSEWe aimed to determine the safety and feasibility of transradial access (TRA) in bronchial artery and non-bronchial systemic artery (NBSA) embolization in patients with non-massive hemoptysis.METHODSThis retrospective study was approved by the Institutional Review Board. Among the 300 patient...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2022-07-01
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| Series: | Diagnostic and Interventional Radiology |
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http://www.dirjournal.org/archives/archive-detail/article-preview/bronchial-and-non-bronchial-systemic-artery-emboli/53671
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| _version_ | 1797691384621170688 |
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| author | Yuna Lee Myungsu Lee Saebeom Hur Hyo-Cheol Kim Hwan Jun Jae Jin Wook Chung Jin Woo Choi |
| author_facet | Yuna Lee Myungsu Lee Saebeom Hur Hyo-Cheol Kim Hwan Jun Jae Jin Wook Chung Jin Woo Choi |
| author_sort | Yuna Lee |
| collection | DOAJ |
| description | PURPOSEWe aimed to determine the safety and feasibility of transradial access (TRA) in bronchial artery and non-bronchial systemic artery (NBSA) embolization in patients with non-massive hemoptysis.METHODSThis retrospective study was approved by the Institutional Review Board. Among the 300 patients treated for hemoptysis with bronchial artery and NBSA embolization between April 2018 and July 2019, 19 procedures in 19 patients were conducted by TRA and were retrospectively analyzed. TRA was considered when the bronchial artery or NBSA originated from the arch vessel or its tributaries. The exclusion criteria of TRA included Barbeau C or D waveform and a radial artery diameter of less than 1.8 mm on ultrasound. TRA was also avoided in cases of the high-origin bronchial artery (i.e., T4 or higher level of the aorta). The hemoptysis-free time was estimated using the Kaplan–Meier method.RESULTSThe technical success (i.e., embolization of all target artery with TRA) rate was 94.7% (18 out of 19 patients). In terms of the target arteries, embolization with TRA was technically successful in treating 47 out of 48 arteries (97.9%). The 1-month and 6-month hemoptysis-free rates were 89.5% (17/19) and 73.7% (14/19), respectively. The only adverse event was iatrogenic dissection of the bronchial artery with little clinical significance in 1 patient. No access site complications were identified on post-procedure day 1 ultrasonography.CONCLUSIONWith proper patient selection, TRA offers a safe and effective approach to embolize the bronchial arteries and NBSAs in patients with hemoptysis. |
| first_indexed | 2024-03-12T02:13:31Z |
| format | Article |
| id | doaj.art-cd1307c3dfba46b4ab4215f8e0fc0ba3 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:13:31Z |
| publishDate | 2022-07-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-cd1307c3dfba46b4ab4215f8e0fc0ba32023-09-06T12:07:25ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122022-07-0128435936310.5152/dir.2022.20110013049054Bronchial and non-bronchial systemic artery embolization with transradial access in patients with hemoptysisYuna Lee0Myungsu Lee1Saebeom Hur2Hyo-Cheol Kim3Hwan Jun Jae4Jin Wook Chung5Jin Woo Choi6 Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea PURPOSEWe aimed to determine the safety and feasibility of transradial access (TRA) in bronchial artery and non-bronchial systemic artery (NBSA) embolization in patients with non-massive hemoptysis.METHODSThis retrospective study was approved by the Institutional Review Board. Among the 300 patients treated for hemoptysis with bronchial artery and NBSA embolization between April 2018 and July 2019, 19 procedures in 19 patients were conducted by TRA and were retrospectively analyzed. TRA was considered when the bronchial artery or NBSA originated from the arch vessel or its tributaries. The exclusion criteria of TRA included Barbeau C or D waveform and a radial artery diameter of less than 1.8 mm on ultrasound. TRA was also avoided in cases of the high-origin bronchial artery (i.e., T4 or higher level of the aorta). The hemoptysis-free time was estimated using the Kaplan–Meier method.RESULTSThe technical success (i.e., embolization of all target artery with TRA) rate was 94.7% (18 out of 19 patients). In terms of the target arteries, embolization with TRA was technically successful in treating 47 out of 48 arteries (97.9%). The 1-month and 6-month hemoptysis-free rates were 89.5% (17/19) and 73.7% (14/19), respectively. The only adverse event was iatrogenic dissection of the bronchial artery with little clinical significance in 1 patient. No access site complications were identified on post-procedure day 1 ultrasonography.CONCLUSIONWith proper patient selection, TRA offers a safe and effective approach to embolize the bronchial arteries and NBSAs in patients with hemoptysis. http://www.dirjournal.org/archives/archive-detail/article-preview/bronchial-and-non-bronchial-systemic-artery-emboli/53671 |
| spellingShingle | Yuna Lee Myungsu Lee Saebeom Hur Hyo-Cheol Kim Hwan Jun Jae Jin Wook Chung Jin Woo Choi Bronchial and non-bronchial systemic artery embolization with transradial access in patients with hemoptysis Diagnostic and Interventional Radiology |
| title | Bronchial and non-bronchial systemic artery embolization with transradial access in patients with hemoptysis |
| title_full | Bronchial and non-bronchial systemic artery embolization with transradial access in patients with hemoptysis |
| title_fullStr | Bronchial and non-bronchial systemic artery embolization with transradial access in patients with hemoptysis |
| title_full_unstemmed | Bronchial and non-bronchial systemic artery embolization with transradial access in patients with hemoptysis |
| title_short | Bronchial and non-bronchial systemic artery embolization with transradial access in patients with hemoptysis |
| title_sort | bronchial and non bronchial systemic artery embolization with transradial access in patients with hemoptysis |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/bronchial-and-non-bronchial-systemic-artery-emboli/53671
|
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