ENDOVASCULAR TREATMENT IN THE MANAGEMENT OF HEMOPTYSIS: SINGLE CENTER EXPERIENCE AND EARLY STAGE CLINICAL RESULTS

ObjectiveEndovascular treatment for bleeding control in hemoptysis was first performed and described in the1970s. Bronchial artery embolization is today performed for all degrees of hemoptysis in benign andmalignant pathologies. Case series for evaluating patient demographics, angiographic findings, technicalsuccess of treatment, and early clinical success arepresented in this study.Material and MethodsPatients with hemoptysis undergoing angiographicevaluation in our Interventional Radiology Unit in2007-2018 were included in the study. Patients’ demographics, angiographic findings, technical successof treatment, and early clinical success were evaluated.ResultsEndovascular embolization was performed on 37 patients with angiographic pathologic signs from 47 patients with hemoptysis, and 91.8% technical successwas achieved (n=34). Early stage clinical success,during hospital stay or the first month, was achievedin 31 (91%) patients. The principal angiographic abnormality was parenchymal staining, and the first choice embolizing agent was polyvinyl alcohol (PVA). Nocomplications related to the procedure were observed.ConclusionsThe results suggest that endovascular treatment inpatients with hemoptysis is a safe and an effectiveapproach that supports the current literature.

HEMOPTİZİ YÖNETİMİNDE ENDOVASKÜLER TEDAVİ: TEK MERKEZ DENEYİMİ VE ERKEN DÖNEM SONUÇLARI

Amaç Hemoptizide kanama kontrolü için endovasküler tedavi ilk kez 1970’lerde tarif edildi ve yapıldı. Günümüzde, benign ve malign patolojilerde her derecedeki hemoptizi için bronşiyal arter embolizasyonu yapılmaktadır. Endovasküler tedavi gerçekleştirilen hemoptizi hastalarında, hasta demografisi, anjiyografik bulgular, tedavinin teknik başarısı ve erken dönem klinik başarı değerlendirmesi için bu olgu serisi sunulmaktadır. Gereç ve Yöntem 2007-2018 yılları arasında, Girişimsel Radyoloji Ünitemizde, embolizasyon amacıyla anjiografi yapılan hemoptizi hastaları çalışmaya dahil edildi. Hasta demografisi, anjiyografik bulgular, tedavinin teknik başarısı ve erken dönem klinik başarısı değerlendirildi. Bulgular Hemoptizisi olan 47 hastadan, anjiyografik bulguları olan 37 hastada, endovasküler embolizasyon gerçekleştirildi ve %91,8 teknik başarı elde edildi (n=34). Erken dönem klinik başarı, hastanede kalma süresi veya ilk bir aylık süre için, 31 hastada (%91) elde edildi. Başlıca anjiyografik anormallik, parankimal boyanma ve ilk tercih edilen embolizan ajan polivinil alkol (PVA) idi. İşlemle ilgili herhangi bir komplikasyon görülmedi. Sonuç Sonuçlar, hemoptizi hastalarında endovasküler tedavinin güncel literatürü destekleyen güvenli ve etkili bir tedavi yöntemi olduğunu göstermektedir.

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