Intervention treatment on massive hemoptysis of pulmonary aspergilloma

He,Guanghui; Liu,Wenyu; Gao,Zhiqiang; Gao,Zhi; Gao,Hongsheng; Wang,Yanjie

doi:10.3892/etm.2017.4230

May-2017 Volume 13 Issue 5

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May-2017 Volume 13 Issue 5

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Article Open Access

Intervention treatment on massive hemoptysis of pulmonary aspergilloma

Authors:
- Guanghui He
- Wenyu Liu
- Zhiqiang Gao
- Zhi Gao
- Hongsheng Gao
- Yanjie Wang
View Affiliations / Copyright

Affiliations: Department of Interventional Therapy, The Second People's Hospital of Weifang, Weifang, Shandong 261041, P.R. China, Department of Tuberculosis, The Second People's Hospital of Weifang, Weifang, Shandong 261041, P.R. China, Department of Pharmacy, The Second People's Hospital of Weifang, Weifang, Shandong 261041, P.R. China

Copyright: © He et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 2259-2262
|
Published online on: March 15, 2017

https://doi.org/10.3892/etm.2017.4230
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Abstract

Retrospective analysis was carried out on intervention treatment and the effects of massive hemoptysis of pulmonary aspergilloma. Twenty-five cases diagnosed as massive hemoptysis of pulmonary aspergilloma were performed with imaging of bronchial arteries and other related blood vessels in order to assess blood vessel type and the number involved in the disease and perform embolotherapy on the offending artery. There were 68 bleeding arteries in 25 cases, of which there were 36 bronchial arteries (52.94%), 15 intercostal arteries (22.06%), 9 internal thoracic arteries (16.17%), 5 inferior phrenic arteries (7.35%), and 3 pulmonary arterial branches (4.41%) and all of them were in embolism condition. For 25 cases, 21 bleeding cases were stopped immediately (84.00%), 3 bleeding cases were stopped after the 2nd embolism, and 1 case had a small amount of hemoptysis after surgery discontinuously, which was stopped after corresponding treatment with no severe complications. Ten cases used polyvinyl alcohol (PVA) particulate embolization solely, 12 cases used PVA with spring coil and 3 cases used PVA, spring coil and N-butyl cyanoacrylate (NBCA) glue. In conclusion, patients who suffer from massive hemoptysis of pulmonary aspergilloma and whose medical treatments are not effective and who are not willing to receive surgical removal, intervention treatment is an effective method. PVA, spring coil and NBCA glue can be effectively used in hemoptysis embolism and pulmonary artery embolism can be considered when systemic embolism is not effective.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Intervention treatment on massive hemoptysis of pulmonary aspergilloma

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