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Free Content Embolisation for life-threatening haemoptysis complicated by systemic artery–pulmonary circulation shunts

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SETTING: Tertiary referral centre.

OBJECTIVE: To retrospectively observe the characteristics of bronchial angiograms in the setting of systemic artery-pulmonary circulation shunts (SPS), and to evaluate the safety and effectiveness of bronchial artery embolisation (BAE) for these patients with life-threatening haemoptysis.

DESIGN: The records of life-threatening haemoptysis patients with SPS who presented to a tertiary referral centre from January 2009 to March 2014 were reviewed.

RESULTS: SPS consisted of bronchial artery–pulmonary artery shunt (AAS) in 30 cases, bronchial artery–pulmonary vein shunt (AVS) in 4 cases, non-bronchial systemic artery–pulmonary circulation shunt (n-BPS) in 7 cases and more than one type of SPS in 4 cases (AAS and AVS in 3 cases, three types of SPS in 1 case). BAE using polyvinyl alcohol (PVA) was successful in 97.8% (44/45) of the patients. Cumulative rates of freedom from recurrence at 1 month, 1 year and 2 years were respectively 97.8%, 93.2% and 85.4%. No major procedure-related complications occurred. No significant differences were found in recurrence rates or cumulative haemoptysis control rates among patients with different types of SPS complications (P = 0.55 and 0.46, respectively).

CONCLUSION: BAE with PVA was safe and effective for life-threatening haemoptysis complicated by SPS.
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Keywords: bronchial angiography; embolisation; haemoptysis; shunt

Document Type: Research Article

Affiliations: Department of Interventional Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China

Publication date: February 1, 2016

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

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