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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/26326

Title: Safety and Efficacy of Repeat Embolization for Recurrent Hemoptysis: A 16-Year Retrospective Study Including 223 Patients
Authors: Maleux, Geert
Matton, Tom
Laenen, Annouschka
Bonne, Lawrence
Cornelissen, Sandra
Dupont, Lieven
Issue Date: 2018
Citation: JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 29(4), p. 502-509
Abstract: Purpose: To assess safety, efficacy, and long-term outcome of repeat bronchial artery embolization (BAE) for recurrent hemoptysis. Materials and Methods: This was a retrospective study of patients referred for repeat BAE to manage recurrent hemoptysis after initial successful embolization. BAE was performed in 223 patients; 36 (16.1%) of these patients underwent 59 repeat BAE procedures because of recurring symptoms. The most frequent underlying lung diseases were bronchiectasis (n = 8; 22%), cystic fibrosis (n = 7; 19%), and idiopathic hemoptysis (n = 7; 19%). Results: Most patients (64%) underwent 2 embolization procedures owing to vessel recanalization (71%) as the most frequent pathophysiologic mechanism of recurrent hemoptysis. No serious adverse events requiring prolonged hospital stay were noted. Risk for relapse of hemoptysis was significantly lower for bronchiectasis compared with other chronic infections (P = .0022) and cystic fibrosis (P = .0004). Overall survival after 3-year and 5-year follow-up was 92% and 84%, respectively. Conclusions: Repeat BAE for recurrent hemoptysis after initial successful BAE is safe and efficacious, especially in patients with bronchiectasis as the underlying lung disease.
Notes: Maleux, G (reprint author), Show less Univ Hosp Leuven, Dept Radiol, Herestr 49, B-3000 Leuven, Belgium, Katholieke Univ Leuven, Dept Imaging & Pathol, Leuven, Belgium, geert.maleux@uzleuven.be
URI: http://hdl.handle.net/1942/26326
DOI: 10.1016/j.jvir.2017.11.015
ISI #: 000428609700010
ISSN: 1051-0443
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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