Bronchial arterial embolization using a gelatin sponge for hemoptysis from pulmonary aspergilloma: comparison with other pulmonary diseases

Shimohira, Masashi; Nagai, Kazuyuki; Sawada, Yusuke; Nakashima, Masahiro; Maki, Hiroyuki; Bando, Yuya; Shibamoto, Yuta

doi:10.1007/s10140-019-01695-y

Cited by 11 publications

(9 citation statements)

References 21 publications

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“…Coils have a high visibility and low risk for misembolization but with the possibility of embolization at proximal vessels [5]. On the other hand, a previous study reported that gelatin sponges, which are temporary embolic agents, may lead to re-canalization of embolized vessels at a higher frequency [21]. Therefore, permanent materials should be used, particularly for haemoptysis due to chronic pulmonary diseases.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes of Bronchial Artery Embolization for Patients with Non-Mycobacterial Non-Fungal Infection Bronchiectasis

et al. 2020

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Background: There is no study on the predictive factors of recurrent haemoptysis after bronchial artery embolization (BAE) with the long-term outcomes in patients with bronchiectasis (BE). Objectives: To evaluate the long-term outcomes of BAE in BE patients without accompanying refractory active infection of mycobacteriosis and aspergillosis with analysis for the predictive factors of recurrent haemoptysis. Methods: Data of 106 patients with BE who underwent BAE using coils between January 2011 and December 2018 were retrospectively reviewed. The cumulative haemoptysis control rate was estimated using Kaplan-Meier methods with log-rank tests to analyze differences in recurrence-free rate between groups based on technical success and failure, bacterial colonization status, number of BE lesions, and vessels embolized to bronchial arteries (BAs) or BAs + non-bronchial systemic arteries (NBSAs). Results: Bacterial colonization was detected in approximately 60% of patients. Computed tomography showed bronchiectatic lesions with 2.9 ± 1.4 lobes. In the first series of BAE, embolization was performed in the BAs alone and BAs + NBSAs in 65.1 and 34.9% of patients, respectively, with 2.4 ± 1.4 embolized vessels in total. The median follow-up period was 1,000 (7–2,790) days. The cumulative haemoptysis control rates were 91.3, 84.2, 81.5, and 78.9% at 1, 2, 3, and 5 years, respectively. The haemoptysis control rates were higher in the technical success group than in the technical failure group (p = 0.029). Conclusions: High haemoptysis control rates for long-term periods were obtained by embolization for all visualized abnormal arteries, regardless of the colonization status, number of bronchiectatic lobes, and target vessels, irrespective of NBSAs.

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Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes of Bronchial Artery Embolization for Patients with Non-Mycobacterial Non-Fungal Infection Bronchiectasis

et al. 2020

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“…Twenty-one studies 12 , 13 , 14 , 15 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 that included a total of 2511 patients who underwent BAE were included. Table 1 provides basic summaries of these studies.…”

Section: Resultsmentioning

confidence: 99%

“…Demographic data, namely, age, sex, and number, are also listed. Nineteen articles 11 , 12 , 13 , 14 , 15 , 17 , 18 , 19 , 20 , 22 , 23 , 24 , 26 , 27 , 28 , 29 , 30 , 31 were used to pool the data of the technical success rate, while 16 studies 12 , 13 , 14 , 15 , 16 , 18 , 20 , 22 , 24 , 25 , 27 , 28 , 29 , 31 , 32 , 33 were used for the evaluation of immediate control of hemoptysis information. We also evaluated 16 studies 12 , 13 , 14 , 15 , 16 , 18 , 19 , 20 , 21 , 23 , 26 , 27 , 29 , 31 , 32 to estimate recurrence and mortality after a BAE procedure.…”

Section: Resultsmentioning

confidence: 99%

Bronchial artery embolization for hemoptysis: A systematic review and meta-analysis

Zheng

Zhuang

Yang

et al. 2021

Journal of Interventional Medicine

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“…22) Some chemicals and materials, namely polyvinyl alcohol, spring coil, and N-butyl cyanoacrylate glue showed their effectiveness in treatment for hemoptysis embolism and pulmonary artery embolism 23) but bronchial arterial embolization involving a gelatin sponge may be ineffective. 24) Hemostatic radiotherapy has also been introduced as a potential treatment option, but it has been used selectively. 25) In our study, hemoptysis from pulmonary aspergilloma stopped.…”

Section: Discussionmentioning

confidence: 99%

Plombage for Hemoptysis Control in Pulmonary Aspergilloma: Safety and Effectiveness of Forgettable Surgery in High-Risk Patients

Giang

Dung

Hien

et al. 2021

ATCS

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Objectives: To evaluate plombage surgery for hemoptysis control in pulmonary aspergilloma in high-risk patients. Methods: This study was carried out on 75 pulmonary aspergilloma patients presenting with hemoptysis that underwent a plombage surgery for approximately 7 years (November 2011–September 2018) at Pham Ngoc Thach Hospital. They revisited the hospital 6 months after plombage surgery and considered plombage removal. The group whose plombage was removed was compared with that whose plombage was retained 6 and 24 months after surgery. Results: Hemoptysis reduced significantly after surgery. Hemoptysis ceased in 91.67% of the patients and diminished in 8.33% of the patients 6 months after surgery. Similarly, hemoptysis ceased in 87.32% of the patients and diminished in 12.68% of the patients 24 months after surgery. Body mass index (BMI) index, Karnofsky score, and forced expiratory volume in one second (FEV1) increased. Plombage surgery was performed with operative time of 129.5 ± 36.6 min, blood loss during operation of 250.7 ± 163.1 mL, and the number of table tennis balls of 4.22 ± 2.02. No deaths related to plombage surgery were recorded. Plombage was removed in 29 cases because of patients’ requirements (89.8%), infection (6.8%), and pain (3.4%). There were no patient developing complications after the treatment and there were no statistically significant differences between the two groups. Conclusions: Plombage surgery is safe and effective for hemoptysis control in pulmonary aspergilloma. To minimize the risk of long-term complications, surgeons should remove the plombage 6 months after the initial operation.

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Bronchial arterial embolization using a gelatin sponge for hemoptysis from pulmonary aspergilloma: comparison with other pulmonary diseases

Cited by 11 publications

References 21 publications

Long-Term Outcomes of Bronchial Artery Embolization for Patients with Non-Mycobacterial Non-Fungal Infection Bronchiectasis

Long-Term Outcomes of Bronchial Artery Embolization for Patients with Non-Mycobacterial Non-Fungal Infection Bronchiectasis

Bronchial artery embolization for hemoptysis: A systematic review and meta-analysis

Plombage for Hemoptysis Control in Pulmonary Aspergilloma: Safety and Effectiveness of Forgettable Surgery in High-Risk Patients

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