Long-term outcome of bronchial artery embolisation (BAE) for massive haemoptysis

Ref ID: 18402

Author:

Amit Adlakha, Rishi Gupta, Arun Sebastian, Paul Tait, James Jackson,
Philip Ind1.

Author address:

Department of Thoracic Medicine, Hammersmith Hospital, London,
United Kingdom; Department of Radiology, Hammersmith Hospital, London,
United Kingdom

Full conference title:

European Respiratory Congress

Abstract:

Background: BAE for massive haemoptysis is potentially life-saving with low
short-to-medium term failure rates in previous studies. We aimed to characterise
patients referred for BAE, to examine long-term treatment success and identify
risk factors for requiring repeat BAE.
Methods: We retrospectively identified all patients undergoing BAE from 1994-
2007.We collated data from hospital databases and primary care on demographics,
respiratory diagnoses and procedure with follow-up of up to 16 years. Outcomes
were all-cause mortality and recurrence of haemoptysis requiring repeat BAE.
Results: 158 patients were embolised on 208 occasions. 85 (54%) patients were
male and median age was 54 (IQR: 41-67)y. The most common underlying diagnoses
were aspergilloma (n=38; 24% of patients), bronchiectasis (n=24; 15%),
unidentified cause (n=17; 11%) chronic tuberculosis (n=14; 9%), active tuberculosis
(n=12; 8%) and cystic fibrosis (n=11; 7%). All-cause mortality at 1 month
and 3 years was 5.3% and 29.7%, and need for repeat BAE was 4.7% and 30.7%
respectively. Repeat BAE at 3 years was most common with aspergilloma (50%)
and least common with active TB (0%). 3-year mortality was highest in cystic
fibrosis (40%) and least with unknown cause (7.7%) Neither number nor location
of vessels embolised predicted mortality or need for repeat BAE. No major
procedural complications were noted.
Conclusions: BAE by experienced operators is a safe, minimally invasive procedure
for massive haemoptysis with excellent short-term success. It does not prevent
late recurrence of haemoptysis nor obviate the need for repeat BAE, the risk of
which is related to the underlying disease rather than to technical aspects of the
procedure.

Abstract Number: P619

Conference Year: 2011

Link to conference website: http://www.ers-education.org/ersMade/abstract_print_11/files/Abstract_book_2011.pdf

New link: NULL

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