지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 591 - 597 (7page)
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초록· 키워드
오류제보하기
Management of cryptogenic massive hemoptysis is difficult, and conservative treatment may be inadequate to stop the hemorrhage. Surgery is not a reasonable option because there is no underlying identifiable pathology. This study aimed to investigate the radiologic findings and bronchial artery embolization outcomes in cryptogenic hemoptysis, and to compare the results with non-cryptogenic hemoptysis. We evaluated 26 patients with cryptogenic hemoptysis and 152 patients with non-cryptogenic hemoptysis. A comparison of the bronchial artery abnormalities between the cryptogenic and non-cryptogenic hemoptysis groups showed that only extravasation was more statistically significant in the cryptogenic hemoptysis group than in the non-cryptogenic hemoptysis group, while the other bronchial artery abnormalities, such as bronchial artery dilatation, hypervascularity, and bronchial-to-pulmonary shunting, showed no significant difference between groups.
Involvement of the non-bronchial systemic artery was significantly greater in the noncryptogenic hemoptysis group than in the cryptogenic hemoptysis group. While 69.2% of patients with cryptogenic hemoptysis also had hypervascularity in the contralateral bronchial arteries and/or ipsilateral bronchial artery branches other than the bleeding lobar branches, this finding was not detected in non-cryptogenic hemoptysis. Embolization was performed on all patients using polyvinyl alcohol particles of 355-500 μm. Hemoptysis ceased in all patients immediately after embolization. While recurrence of hemoptysis showed no statistically significant difference between the cryptogenic and non-cryptogenic hemoptysis groups, it was mild in cryptogenic hemoptysis in contrast to mostly severe in non-cryptogenic hemoptysis. Transarterial embolization is a safe and effective technique to manage cryptogenic hemoptysis
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Bruzzi JF / 2006 / Multi-detector row CT of hemoptysis / Radiographics 26:3~22
Delage A / 2010 / Cryptogenic hemoptysis in chronic obstructive pulmonary disease : characteristics and outcome / Respiration 80:387~392
Samara KD / 2011 / Bronchial artery embolization for management of massive cryptogenic hemoptysis : a case series / J Med Case Rep 5:58
Swanson KL / 2002 / Bronchial artery embolization : experience with 54 patients / Chest 121:789~795
Shigemura N / 2009 / Multidisciplinary management of life-threatening massive hemoptysis : a 10-year experience / Ann Thorac Surg 87:849~853
Delage A / 2010 / Cryptogenic hemoptysis in chronic obstructive pulmonary disease : characteristics and outcome / Respiration 80:387~392
Samara KD / 2011 / Bronchial artery embolization for management of massive cryptogenic hemoptysis : a case series / J Med Case Rep 5:58
Swanson KL / 2002 / Bronchial artery embolization : experience with 54 patients / Chest 121:789~795
Shigemura N / 2009 / Multidisciplinary management of life-threatening massive hemoptysis : a 10-year experience / Ann Thorac Surg 87:849~853
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