Efficacy, safety and usability of bronchial artery embolization using a new anti-reflux microcatheter in the management of haemoptysis

Efficacy, safety and usability of bronchial artery embolization using a new anti-reflux microcatheter in the management of haemoptysis

Authors

  • Salvatore Alessio Angileri Operative Unit of Radiology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Via Francesco Sforza 35, 20122, Milano, Italy
  • Giovanni Maria Rodà a:1:{s:5:"en_US";s:135:"Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy";}
  • Antonio Arrichiello Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy
  • Giulia Signorelli Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy
  • Letizia Di Meglio Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy
  • Martina Gurgitano Division of Radiology, IEO European institute of oncology IRCCS, Milan, Italy
  • Francesco Di Bartolomeo Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy
  • Anna Maria Ierardi Operative Unit of Radiology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Via Francesco Sforza 35, 20122, Milano, Italy
  • Aldo Paolucci Operative Unit of Neuroradiology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy
  • Gianpaolo Carrafiello Operative Unit of Radiology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy. Via Francesco Sforza 35, 20122, Milano, Italy; 5. Department of Health Sciences, Università degli Studi di Milano, Milan, Italy Via Festa del Perdono 7, 20122, Milan, Italy

Keywords:

radiology, embolization, bleeding, microcatheter, intervantional radiology, bronchial arteries

Abstract

Purpose: Haemoptysis (Hp) is a potentially life-threatening medical condition. We investigated the safety, efficacy and usability of bronchial artery embolization using a new anti-reflux microcatheter in patients with haemoptysis. Materials and methods: The study was held as a single-center retrospective study. Four patients underwent bronchial arterial embolization, using the new microcatheter. Then, we evalueted technical success, immediate clinical success, haemoptysis recurrance rate and safety in reducing reflux complications. Conclusion Bronchial artery embolization for hemoptysis with the new microcatheter is a safe and effective method with high technical and clinical success rates. Short and medium-term results are excellent.

References

Hirshberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital. Chest. 1997; 112:440–4 http://www.ncbi.nlm.nih.gov/pubmed/9266882. Accessed 13 June 2018.

Tsoumakidou M, Chrysofakis G, Tsiligianni I, Maltezakis G, Siafakas NM, Tzanakis N. A prospective analysis of 184 hemoptysis cases: diagnostic impact of chest X-ray, computed tomography, bronchoscopy. Respiration. 2006;73:808–14. https://doi.org/10.1159/000091189.

Mondoni M, Carlucci P, Job S, Parazzini EM, Cipolla G, Pagani M, et al. Observational, multicentre study on the epidemiology of haemoptysis. Eur Respir J. 2018;51:1701813. https://doi.org/10.1183/13993003.01813-2017.

Soares Pires F, Teixeira N, Coelho F, et al. Hemoptysis –etiology, evaluation and treatment in a university hospital. Rev Port Pneumol 2011; 17: 7–14.

Abdulmalak C, Cottenet J, Beltramo G, et al. Haemoptysis in adults: a 5-year study using the French nationwide hospital administrative database. Eur Respir J 2015; 46: 503–511.

Vanni S, Bianchi S, Bigiarini S, et al. Management of patients presenting with haemoptysis to a Tertiary Care Italian Emergency Department: the Florence Haemoptysis Score (FLHASc). Intern Emerg Med 2017; https://doi.org/10.1007/s11739-017-1618-8.

Nielsen K, Gottlieb M, Colella S, et al. Bronchoscopy as a supplement to computed tomography in patients with haemoptysis may be unnecessary. Eur Clin Respir J 2016; 3: 31802.

Mondoni M, Sferrazza Papa GF, Sotgiu G, et al. Haemoptysis: a frequent diagnostic challenge. Eur Respir J 2016; 47: 348–350.

Knott-Craig CJ, Oostuizen JG, Rossouw G, Joubert JR, Barnard PM. Management and prognosis of massive hemoptysis. Recent experience with 120 patients. J Thorac Cardiovasc Surg. 1993;105(3):394–7.

Mal H, Rullon I, Mellot F, Brugière O, Sleiman C, Menu Y, et al. Immediate and long-term results of bronchial artery embolization for life-threatening hemoptysis. Chest. 1999;115(4):996–1001.

Porter DK, Van Every MJ, Anthracite RF, Mack JW. Massive hemoptysis in cystic fibrosis. Arch Intern Med. 1983;143(2):287–90.

Cahill BC, Ingbar DH. Massive hemoptysis. Assessment and management. Clin Chest Med. 1994;15(1):147–67.

Santiago S, Tobias J, Williams AJ. A reappraisal of the causes of hemoptysis. Arch Intern Med. 1991;151(12):2449–51.

Johnston H, Reisz G. Changing spectrum of hemoptysis. Underlying causes in 148 patients undergoing diagnostic flexible fiberoptic bronchoscopy. Arch Intern Med. 1989;149(7):1666–8.

Corey R, Hla KM. Major and massive hemoptysis: reassessment of conservative management. Am J Med Sci. 1987;294(5):301–9.

Garzon AA, Gourin A. Surgical management of massive hemoptysis. A ten-year experience. Ann Surg. 1978;187(3):267–71.

Lordan JL, Gascoigne A, Corris PA: The pulmonary physician in critical care * Illustrative case 7: Assessment and management of massive haemoptysis. Thorax 2003; 58: 814–9.

Haponik EF, Fein A, Chin R: Managing life-threatening hemoptysis: has anything really changed? Chest 2000; 118: 1431–5

Swanson KL, Johnson CM, Prakash UB, et al. Bronchial artery embolization: experience with 54 patients. Chest 2002;121: 789–95.

Govind M, Maharajh J. The impact of coinfection with human immunodeficiency virus and pulmonary tuberculosis on the success of bronchial artery embolization. Br J Radiol 2013;86:20120256.

Lee MK, Kim SH, Yong SJ, et al. Moderate hemoptysis: recurrent hemoptysis and mortality according to bronchial artery embolization. Clin Respir J 2015;9:53–64.

Poyanli A, Acunas B, Rozanes I, et al. Endovascular therapy in the management of moderate and massive haemoptysis. Br J Radiol 2007;80:331–6.

Yoon W, Kim JK, Kim YH, et al. Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review. Radiographics 2002;22:1395–409.

Ittrich H, Klose H, Adam G. Radiologic management of haemoptysis: diagnostic and interventional bronchial arterial embolisation. Rofo 2015;187:248–59.

Fernando HC, Stein M, Benfield JR, Link DP: Role of bronchial artery embolization in the management of hemoptysis. Arch Surg 1998; 133: 862–6.

Remy J, Arnaud A, Fardou H, Giraud R, Voisin C: Treatment of hemoptysis by embolization of bronchial arteries. Radiology 1977; 122: 33–7.

Uflacker R, Kaemmerer A, Picon PD, et al.: Bronchial artery embolization in the management of hemoptysis: technical aspects and long-term results. Radiology 1985; 157: 637–44.

Expert Panel on Thoracic Imaging, Olsen KM, Manouchehr-Pour S, et al. ACR Appropriateness Criteria® Hemoptysis. J Am Coll Radiol. 2020;17(5S):S148‐S159. doi:10.1016/j.jacr.2020.01.043

Ierardi AM, Floridi C, Pellegrino C, et al. Role of percutaneous transcatheter embolization (PTE) in the treatment of spontaneous bleeding associated with anticoagulant therapy. Radiol Med. 2015;120(1):149-157. doi:10.1007/s11547-014-0470-4

Sopko DR, Smith TP. Bronchial artery embolization for hemoptysis. Semin Intervent Radiol. 2011;28(1):48–62.

Omid Khalilzadeh, Mark O. Baerlocher, Paul B. Shyn et al.: Proposal of a New Adverse Event Classification by the Society of Interventional Radiology Standards of Practice Committee. J Vasc Interv Radiol. 2018 Jan;29(1):146. doi:10.1016/j.jvir.2017.10.012.

Sehitogullari A, Bilici S, Sayir F, Cobanoglu U, Kahraman A. A long‑term study assessing the factors infuencing survival and morbidity in the surgical management of bronchiectasis. J Cardiothorac Surg 2011;6:161.

Burke CT, Mauro MA. Bronchial artery embolization. Semin Intervent Radiol 2004;21:43-8.

Lorenz J, Sheth D, Patel J. Bronchial artery embolization. Semin Intervent Radiol 2012;29:155-60.

Sidhu M, Wieseler K, Burdick TR, Shaw DW. Bronchial artery embolization for hemoptysis. Semin Intervent Radiol 2008;25:310-8

Kwon W, Kim YJ, Lee YH, Lee WY, Kim MS. The effectiveness of embolotherapy for treatment of hemoptysis in patients with varying severity of tuberculosis by assessment of chest radiography. Yonsei Med J 2006;47:377-83.

Revel MP, Fournier LS, Hennebicque AS, Cuenod CA, Meyer G, Reynaud P, et al. Can CT replace bronchoscopy in the detection of the site and cause of bleeding in patients with large or massive hemoptysis? AJR Am J Roentgenol. 2002;179(5):1217–24.

Millar AB, Boothroyd AE, Edwards D, Hetzel MR. The role of computed tomography (CT) in the investigation of unexplained haemoptysis. Respir Med. 1992;86(1):39–44.

Naidich DP, Funt S, Ettenger NA, Arranda C. Hemoptysis: CT-bronchoscopic correlations in 58 cases. Radiology. 1990;177(2):357–62.

Hidenori M, Yasushi O, Yusuke T, Masanori K, Fumitaka I, Junki E, et al. Use of multidetector row CT to evaluate the need for bronchial arterial embolisation in hemoptysis patients. Respiration 2010;80:24—31.

Rémy-Jardin M, Bouaziz N, Dumont P, Brillet PY, Bruzzi J, Rémy J. Bronchial and non-bronchial systemic arteries at multidetector row CT angiography: comparaison with conventional angiography. Radiology 2004;233:741—9.

Carette MF, Parrot A, Fartoukh M, Tassart M, Khalil A. Normal and abnormal systemic pulmonary circulation: CT imaging features. J Radiol 2009;90:1789—800.

Marshall TJ, Jackson JE: Vascular intervention in the thorax: bronchial artery embolization for haemoptysis. Eur Radiol 1997; 7:1221–7.

Botenga AS: [Broncho-bronchial anastomosis. A selective angiographic study]. Ann Radiol 1970; 13: 1–16.

Vujic I, Pyle R, Hungerford GD, Griffin CN: Angiography and therapeutic blockade in the control of hemoptysis. The importance of nonbronchial systemic arteries. Radiology 1982; 143: 19–23.

Ramakantan R, Bandekar VG, Gandhi MS, Aulakh BG, Deshmukh HL: Massive hemoptysis due to pulmonary tuberculosis: control with bronchial artery embolization. Radiology 1996; 200: 691–4.

Fellows KE, Stigol L, Shuster S, Khaw KT, Shwachman H: Selective bronchial arteriography in patients with cystic fibrosis and massive hemoptysis. Radiology 1975; 114: 551–6.

Laganà D, Carrafiello G, Mangini M, et al. Indications for the use of the Amplatzer vascular plug in interventional radiology. Radiol Med. 2008;113(5):707-718. doi:10.1007/s11547-008-0306-1

Mangini M, Laganà D, Fontana F, et al. Use of Amplatzer Vascular Plug (AVP) in emergency embolisation: preliminary experience and review of literature. Emerg Radiol. 2008;15(3):153-160. doi:10.1007/s10140-007-0696-8

Panda A, Bhalla AS, Goyal A. bronchial artery embolization in hemoptysis: a systematic review. Diagn Interv Radiol. 2017;23(4):307–17.

Downloads

Published

23-09-2020

How to Cite

1.
Angileri SA, Rodà GM, Arrichiello A, Signorelli G, Di Meglio L, Gurgitano M, et al. Efficacy, safety and usability of bronchial artery embolization using a new anti-reflux microcatheter in the management of haemoptysis. Acta Biomed [Internet]. 2020 Sep. 23 [cited 2024 Jul. 18];91(10-S):e2020009. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/10265